The management of perineal contractures in children with burns

G. P. Pisarski, David G Greenhalgh, G. D. Warden

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

A retrospective review of patients undergoing reconstruction for perineal scar contracture between 1980 and 1991 was performed to determine the surgical principles involved in perineal contracture release. Of the 5280 reconstructive admissions, 18 (0.34%) were for perineal contracture release. Fifty-six percent of patients received a local flap as an initial release, 28% underwent incisional release with split-thickness skin grafting (STSG), 5% had primary release and closure, and 11% had a combination of these techniques. Recurrences developed in 40% of the local flap group, 20% of the STSG group, and 50% of the combination group, with no statistical differences between groups. Although there was a higher rate of recurrence in the flap group, the procedure was much simpler to perform and recovery time was shorter. The use of STSG should be reserved for large bilateral contractures and recurrences, especially if normal skin for a flap is not available. Growth is an important variable in the development of perineal contractures in children with burns; thus these patients should be followed up closely during rapid-growth periods.

Original languageEnglish (US)
Pages (from-to)256-259
Number of pages4
JournalJournal of Burn Care and Rehabilitation
Volume15
Issue number3
StatePublished - 1994
Externally publishedYes

ASJC Scopus subject areas

  • Emergency Medicine
  • Rehabilitation
  • Surgery
  • Nursing(all)
  • Health Professions(all)

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