By Luc Téot MD, PhD (auth.), Hiko Hyakusoku, Dennis P. Orgill, Luc Teot, Julian J. Pribaz, Rei Ogawa (eds.)
Post-burn scar contractures are a in general encountered challenge within the box of plastic and reconstructive surgical procedure. however, many physicians nonetheless lack enough wisdom on necessary remedies. during this updated atlas, prime experts in post-burn remedy and the reconstruction of post-burn scar contractures depict intimately not just surgical innovations but additionally a number of effective wound remedies. Many new equipment invented by way of the authors are offered. Operative strategies are depicted intimately, and transparent suggestions is equipped on collection of the main acceptable flap surgical procedure. recommendation can be given on how one can hinder completely disabling limit of joint circulation because of contractures and the way to accomplish reliable aesthetic reconstruction. This atlas is designed to entice a large viewers, from newbies to experts. it is going to turn out beneficial for medical professionals of each variety who care for wound management.
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Extra info for Color Atlas of Burn Reconstructive Surgery
If the wounds, after removal of scar tissues, have platysma at the base, FTSG can be selected (type IIIa). However, if the platysma is missing, thin flaps should be used (type IIIb). “Super-thin flaps”  harvested from chest or dorsal region, perforator flaps, supraclavicular flaps  may be used. Broadband contracture extended to the next units should be reconstructed by a sheet of large and thin flaps such as perforator-supercharged “Super-thin flaps” (type IV). 7) Short linear contracture can be released by a small rotation or transposition local flap designed next to the contracture (type I); however, long linear contracture should be reconstructed by skin grafting (type II).
In connective tissue contracture, differential diagnosis by anatomical structures should be performed before the planning of surgical methods. 1); (a) Cutaneous, subcutaneous or fascial contracture, (b) Tendon contracture, (c) Ligament contracture and (d) Muscle contracture. Many of burn scar contractures are classified into cutaneous/ subcutaneous contracture. If tendon, ligament, and muscle contracture were diagnosed, these replacement/ reconstruction methods should be considered in addition to releasing scar contractures.
A. edu Histologic data and subjective evaluations have suggested that this construct looks more like skin and has more distensibility than split-thickness skin grafting alone, but this remains controversial [4, 5]. While initial reports demonstrated that Integra could be a lifesaving skin substitute for burn injury, the rates of engraftment were often disappointing being as low as 40% [5–7]. Rarely were engraftment rates reported to be above 90% except by the inventor suggesting that the process of learning to work with the product was slow.