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TREATMENT OF SCARRING DEFORMATIONS AND
CONTRACTURES OF LARGE JOINTS OF THE FOOT BY NEW
METHODS
Isomiddinov Z.D.
Andijan State Medical Institute Andijan, Uzbekistan
https://doi.org/10.5281/zenodo.12663167
We have shown the results of treatment of patients with soot
complications in the large joints of the foot by traditional surgical methods. For
this, 99 patients were selected and included in the control group. In the control
group, 3 types were performed, dermatome skin grafting in 23 (23%) of 99
patients, local tissue and Limberg method Z-plasty in 34 (34%) and clot plasty in
42 (42%) patients underwent surgery. 15 (15.2%) of these patients have scars
deep and attached to underlying tissues, and 4 (26.7%) of them have open
wound foci.
In the organization of surgical operations, we found it necessary to
distinguish scar tissue not by its size, but by its properties, coverage of the joint
surface, and the extent to which it limits movement. In 16.7% of cases after local
tissue plastic surgery, unsatisfactory results such as scar expansion and
hypertrophic scars are one of the main disadvantages of the method.
Autodermoplasty is performed for deep, long-term and large scarring
deformities. When discussing the distant negative results, we will focus on the
features of the autodermograft. Autodermograft is less elastic, has a high
probability of retraction, becomes hyperpigmented, and is considered a less
feasible method in functionally active areas.
It is difficult to find a better method than z-plasty in eliminating the
functional defect of all types of one-line scar contractures in one step. The only
advantage of skin grafting is the ability to eliminate large scars and contractures
in one step, with a high 39.1% negative outcome in the long term (retraction of
the transplanted skin, hyperpigmentation, in some cases re-contracture of
functionally active areas) can be seen. In addition, a specialist with special
knowledge and practical skills is required, in addition to the lack of opportunity
to choose donor sites for skin transplantation.
Conclusion.
Today, microsurgical autotransplantation and surgical operations
performed by comparative tissue growth are considered very unlikely to be
used in this pathology.
For this reason, we think that it is necessary to develop and put into practice an
optimal method that has not been found for the elimination of scar deformations
and contractures of large joints of the foot after soot.
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Literature:
1.Elmasry M., Steinvall I., Thorfinn J. et al. Staged excisions of moderate-sized
burns compared with total excision with immediate autograft: an evaluation of
two strategies // Int. J Burns Trauma. - 2017. - Vol. 7, N1. - P. 6-11.
2.Fistal E.Y., Speranskiy I.I., Soloshenko V.V. et al. Analysis of treatment of the
injured with moderate and severe burns // Chirurgia Plastyczna I Oparzenia. —
2013. — Vol. 1, № 2. — P. 56–58.
3.Friel M.T., Duquette S.P., Ranganath B. et al. The Use of Glabrous Skins Grafts in
the Treatment of Pediatric Palmar Hand Burns // Ann Plast Surg. – 2015. – Vol.
75, N2. – P. 153-157.
4. Gao F.Y., Xi Y.F., Zheng M.X., Qiao F. Prevalence of deep venous thrombosis in
burn patients and its influencing factors // Zhonghua Shao Shang Za Zhi. – 2016.
– Vol. 32, N3. – P. 176-180.
8. Grishkevich V.M., Grishkevich M., Menzul V. Postburn neck anterior
contracture treatment in children with scar-fascial local trapezoid flaps: a new
approach // J. Burn Care Res. – 2015. – Vol. 36, N3. – P. e112-e119.
9. Hayes DW Jr, Webb GE, Mandracchia VJ, John KJ. Full-thickness burn of the
foot: successful treatment with Apligraf. A case report. Clin Podiatr Med Surg
2001 Jan;18(1):179-188
10. Imran F.H., Karim R., Maat N.H. Managing burn wounds with SMARTPORE
Technology polyurethane foam: two case reports // J. Med. Case Rep. – 2016. –
Vol. 10, N1. – P. 120.
12. Israel J.S., Greenhalgh D.G., Gibson A.L. Variations in Burn Excision and
Grafting: A Survey of the American Burn Association // J Burn Care Res. – 2017.
– Vol. 38, N1. - P. e125-e132.
13. Kovalenko O.M. Metabolic intoxication in thermic trauma // Klin Khir. –
2015. - №5. – P. 77-80.
14. Krieger Y., Shoham Y., Bogdanov-Berezovsky A. et al. Review of 30 еars of
research and development of an enzymatic debridement agent for burns //
Harefuah. – 2016. – Vol. 155, N5. – P. 281-285.
15. Li H., Zhang J., Chen J. et al. Integration of burn treatment and rehabilitation
for a child with extremely severe burn // Zhonghua Shao Shang Za Zhi. – 2015. –
Vol. 31, N2. – P. 130-134.
16. Liu Y. Lay further emphasis on the cosmetic repair of deep burn wounds in
extraordinary regions or caused by uncommon agents // Zhonghua Shao Shang
Za Zhi. – 2014. – Vol. 30, N5. – P. 389-391.
17. Liu Y., Zhang Y., Huang Y. et al. Clinical application of artificial dermis
combined with basic fibroblast growth factor in the treatment of cicatrix and
ACADEMIC RESEARCH IN MODERN SCIENCE
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7
deep skin wounds // Zhonghua Shao Shang Za Zhi. – 2016. – Vol. 32, N4. – P.
198-203.
18. Logsetty S, Heimbach DM., Modern techniques for wound coverage of the
thermally injured upper extremity. Hand Clin. 2000 May;16 (2):205-14. Review
