22 -10 (60) 2023 — Ketmonov A.G., Yulchiyev K.S. — ADVANTAGES OF FREE FULL-LAYER SKIN PLASTY IN ELIMINATION OF POST-BURN CONTRACTURES OF THE SHOULDER AND LOCAL SCAR IN CHILDREN

ADVANTAGES OF FREE FULL-LAYER SKIN PLASTY IN ELIMINATION OF POST-BURN CONTRACTURES OF THE SHOULDER AND LOCAL SCAR IN CHILDREN

Ketmonov A.G., Andijan State Medical Institute

Yulchiyev K.S., Andijan State Medical Institute

Abdurakhmanov F.S. Andijan State Medical Institute

Resume

In children, the frequency of thermal burns is higher than in adults. Of course, it depends on the level of inattention of children. The development of science and technology is steadily increasing the number of children suffering from thermal burns. Although the development of medicine reduces the mortality of children suffering from severe thermal burns, it cannot solve the problems associated with the increase in the number of disabilities caused by post-burn complications. Post-burn complications develop in 20-22% of children with thermal burns.

Purpose of work: to improve the results of elimination of cicatricial contractures of the shoulder and elbow joints in children. Materials and methods of research: In the article in 2019-2022. the postoperative results of 72 children with complications caused by burns of the shoulder and elbow joints in the Department of Maxillofacial and Plastic Surgery of the Children’s Multidisciplinary Medical Center of Andijan region are presented. studied. Results and discussion: 25 children were treated with traditional skin plasty using a dermatome for post-burn cicatricial contractures of the shoulder and elbow joints. Results were discussed between 3 and 6 months. Good functional and cosmetic results were achieved in 21 (84%) patients. 47 pediatric patients underwent skin resection with a free flap for post-burn cicatricial contractures of the shoulder and elbow joints, good functional and cosmetic results were achieved in 45 (96%) patients.

Keywords: burn, scar, cicatricial contracture, redrasation, joint

First page

135

Last page

139

For citation: Ketmonov A.G., Yulchiyev K.S., Abdurakhmanov F.S. – ADVANTAGES OF FREE FULL-LAYER SKIN PLASTY IN ELIMINATION OF POST-BURN CONTRACTURES OF THE SHOULDER AND LOCAL SCAR IN CHILDREN //New Day in Medicine 2023 10(60): 135-139 https://newdaymedicine.com/index.php/2023/10/06/l-410/

LIST OF REFERENCES:

  1. Азолов В.В., Александров Н.М., Петров С.В. Реконструкция пальцев при последствиях термических поражений кисти и предплечья // Комбустиология на рубеже веков: Тез.докл. Междунар.конгресс.- Москва, 2000;183-184.
  2. Альтшулер Е.М., Лечение глубоких ожогов крупных суставов / Е.М.Альтшулер, и др. // Материалы международного конгресса «Комбустиология на рубеже веков». Москва. – 2000;132-133.
  3. Мадазимов М.М., Содикова М.А. «Хирургическая коррекция послеожоговых рубцовых деформации плечового и лектового суставов» // Хирургия Узбекистана 2002;(2).
  4. Морозов В.Ю. Реконструктивно-востоновительная хирургия при ожогов. М. 2008 г.
  5. Дмитриев Г.И. Реконструктивно-восстановительная хирургия последствий ожогов // Матер. VIII Всероссийской научно-практ. конф. «Проблемы лечения тяжелой термической травмы». 22-24 сентября 2004г.- Нижний Новгород, 2004;199-200.
  6. Димитриев Г.И., Зольцев Ю.К., и др. Хирургическая реабилитация больных с последствиями ожогов. // Мат. Межд. Конф. «Актуальные проблемы термической травмы». 2002.
  7. Дмитриев Д.Г., Стручков А.А., Ручин М.В. Активное хирургическое лечение ожогов с повреждением глубоких анатомических структур // Комбустиология на рубеже веков: Междунар конгресс.- Москва, 2000;139-140.
  8. Hultman C.S., Use of scarred flaps and secondary flaps for reconstmctive surgery of extensive burns. // Burns Incl. Thermlnj. 2010.
  9. Lickstein L.H., Bentz ML. Reconstruction of pediatric foot and ankle trauma // Craniofac. Surg. 2003;14(4):559-565.

file

download