Functional Burn Reconstruction



Functional Burn Reconstruction


David A. Billmire

Kim A. Bjorklund





ANATOMY



  • Major problems tend to occur across joints and sites of active movement.


  • The shoulder, elbow, and hand are most commonly affected by contractures.2


PATHOGENESIS



  • In normal acute wound healing, myofibroblasts provide collagen and fibronectin deposition and aid in wound contraction over approximately 7 to 10 days.3


  • However, the presence of myofibroblasts following a burn injury can result in excessive extracellular matrix deposition leading to a pathologic contracture and hypertrophic scarring.3


  • Although in adults scars typically mature within 12 months, in children, the scarring diathesis may take years to resolve.


NATURAL HISTORY

Feb 27, 2020 | Posted by in Pediatric plastic surgery | Comments Off on Functional Burn Reconstruction
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