Skip Navigation LinksHome > April 2012 - Volume 129 - Issue 4 > An Individualized Approach to Severe Elbow Burn Contractures
Plastic & Reconstructive Surgery:
doi: 10.1097/PRS.0b013e3182450c0c
Hand/Peripheral Nerve: Special Topic

An Individualized Approach to Severe Elbow Burn Contractures

Kung, Theodore A. M.D.; Jebson, Peter J. L. M.D.; Cederna, Paul S. M.D.

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Abstract

Summary: Contracture of the antecubital fossa is a common occurrence following thermal burn injury to the upper extremity. Scarring of the superficial tissues can be treated with a variety of surgical methods to provide release and coverage. However, complex scarring of the elbow, which involves the deeper structures, requires a patient-specific technique for which each scarred, shortened, or contracted component is purposefully addressed during the operation. In addition, severe elbow contractures may be complicated by other conditions, such as peripheral neuropathy and heterotopic ossification. This article will discuss the evaluation of the patient with a severe elbow burn contracture and emphasize the importance of an individualized and comprehensive surgical approach.

CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, V.

©2012American Society of Plastic Surgeons

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