Severe upper extremities burn scar contractures after a scald burn – case report

  • Francisco Felipe Laitano Hospital Sao Lucas da PUCRS
  • Lourenço Frigeri Teixeira Hospital Sao Lucas da PUCRS
  • Lucas Tomkowsk Cancian Hospital Sao Lucas da PUCRS
  • Evandro José Siqueira Hospital Sao Lucas da PUCRS
  • Gustavo Steffen Alvares Hospital Sao Lucas da PUCRS
  • Jefferson Braga Silva Hospital Sao Lucas da PUCRS
Keywords: CONTRACTURE, SCAR, BURN INJURIES, CICATRIX, BURNS

Abstract

AIMS: To describe the medical history and surgical management of a boy presenting severe upper extremity scar contraction secondary to burn injury. CASE DESCRIPTION: We describe a case of a six years old patient presenting with an important upper extremity scar contraction secondary to a scald burn injury. Late surgical management included zetaplasties performed in multiple surgical stages with a satisfactory functional result. CONCLUSIONS: Scar contraction is a common complication following burn injuries and should be individually managed. The best way to prevent them is delivering an early appropriate treatment based on standard protocols for severe burn injuries. Treatment for contractions should be initiated by the simplest and most resolutive option for each case. In this case, zetaplasties and partial skin grafts were done, with a good effectiveness, minor morbidity and substantial improvement in the patient's quality of life.

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Author Biographies

Francisco Felipe Laitano, Hospital Sao Lucas da PUCRS
Médico Residente do Serviço de Cirurgia Plástica do Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul.
Lourenço Frigeri Teixeira, Hospital Sao Lucas da PUCRS
Médico Residente do Serviço de Cirurgia Plástica do Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul.
Lucas Tomkowsk Cancian, Hospital Sao Lucas da PUCRS
Médico Residente do Serviço de Cirurgia Plástica do Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul.
Evandro José Siqueira, Hospital Sao Lucas da PUCRS
Cirurgião Plástico, Membro Especialista da Sociedade Brasileira de Cirurgia Plástica
Gustavo Steffen Alvares, Hospital Sao Lucas da PUCRS
Cirurgião Plástico, Membro Especialista da Sociedade Brasileira de Cirurgia Plástica
Jefferson Braga Silva, Hospital Sao Lucas da PUCRS
Chefe do Serviço de Cirurgia da Mão e Microcirurgia Reconstrutiva do Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul. Professor Livre-Docente em Cirurgia da Mão da UNIFESP. Professor do Departamento de Cirurgia PUCRS. Ex-Presidente da Sociedade Brasileira de Microcirurgia Reconstrutiva. Ex-Presidente da Sociedade Brasileira de Cirurgia da Mão.
Published
2013-10-19
How to Cite
Laitano, F. F., Teixeira, L. F., Tomkowsk Cancian, L., Siqueira, E. J., Steffen Alvares, G., & Braga Silva, J. (2013). Severe upper extremities burn scar contractures after a scald burn – case report. Scientia Medica, 23(3), 180-183. Retrieved from https://revistaseletronicas.pucrs.br/ojs/index.php/scientiamedica/article/view/13231
Section
Case Reports