| Z-lengthening and gastrocnemius muscle flap in the management of severe postburn flexion contractures of the knee. | |
| | |
MedLine Citation:
|
PMID: 9680025 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Five patients with seven severe flexion contractures after burn were treated. The problems confronted at the time of release of these contractures were bowstringing of contracted neurovascular bundles and hamstring tendons. These problems were overcome by Z-lengthening of tendons to achieve nearly normal extension. The medial head of the gastrocnemius muscle and local adipofascial flaps were used for coverage of exposed tendons and neurovascular bundles. Complete correction with full range of active motion of the knee joint was achieved in all of the patients after physiotherapy with no significant complication. We recommend this procedure routinely for patients with severe postburn flexion contractures of the knee with shortened tendons and neurovascular bundles. |
| | |
Authors:
|
N A Chowdri; M A Darzi |
Related Documents
:
|
11561235 - The effect of flexor tendon repair bulk on tendon gliding during simulated active motio... 11948955 - Effect of paratenon and repetitive motion on the gliding resistance of tendon of extras... 17007625 - Anatomical study of the ankle with view to the anterior arthroscopic portals. 16958495 - Treatment of a recurrent clubfoot deformity after initial correction with the ponseti t... 3942635 - Pectoralis major muscle flap in head and neck reconstruction. 994275 - Sensorineural hearing after removal of cholesteatoma from labyrinthine fistulae. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Journal of trauma Volume: 45 ISSN: 0022-5282 ISO Abbreviation: J Trauma Publication Date: 1998 Jul |
Date Detail:
|
Created Date: 1998-08-12 Completed Date: 1998-08-12 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0376373 Medline TA: J Trauma Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 127-32 Citation Subset: AIM; IM |
Affiliation:
|
Department of Plastic and Reconstructive Surgery, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar, India. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Aged Burns / complications*, physiopathology Child Contracture / etiology, physiopathology, surgery* Female Humans Knee / physiopathology, surgery* Male Middle Aged Range of Motion, Articular Surgical Procedures, Operative / methods |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Residual impairment after lower extremity fracture.
Next Document: Abnormally increased intramuscular pressure in human legs: comparison of two experimental models.