Authors :
Hengki Yong; Mendy Hatibie Oley; Stevy Suoth
Volume/Issue :
Volume 9 - 2024, Issue 6 - June
Google Scholar :
https://tinyurl.com/4nsy3zzr
Scribd :
https://tinyurl.com/yxpxbz9s
DOI :
https://doi.org/10.38124/ijisrt/IJISRT24JUN844
Abstract :
Introduction: Contracture after a burn injury
is the most common complication that might happen. The
child’s healing process is faster than that of adults,
causing a faster development of contracture unless the
joint is directly injured. In developing country such as
Indonesia, it is harder for children with burn injuries
receive acute burn care, resulting a debilitation joint and
soft tissue contracture. Case Series: We presents six case
series of burn contracture in children with various
clinical appearance and predilection. The challanges of
burn injury in children especially in this case series is the
knowledge of parent in urban area such as nutritional
status, believing in traditional methods, timing to ask for
help, and the parental concern. Many challenges we
found when we discussion with parents. Discussion:
Along with the technology and knowledge development,
there is various way to overcome contractures. Some of
them such as, doing incisions in parallel to relaxed skin
tension lines also can minimize the chance of contracture.
In other hand, if contracture already happen,
reconstructure procedure should be done. Apart from the
impact of the injury and its treatment, parents’ reaction
and responses to the traumatic event have been shown
significantly to influence the child’s functioning,
wellbeing and phycological recovery. Conclussion:
Preventive procedure in contracture may leading to
decrease huge costs of care and significant physical,
psychological, and economic reactions on the burned
survivor and their families. Without having to face effects
of these contractures, excellent education and regular
patient monitoring can provide positive results.
Keywords :
Burn; Contracture; Children; Flaps; Reconstruction.
References :
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Introduction: Contracture after a burn injury
is the most common complication that might happen. The
child’s healing process is faster than that of adults,
causing a faster development of contracture unless the
joint is directly injured. In developing country such as
Indonesia, it is harder for children with burn injuries
receive acute burn care, resulting a debilitation joint and
soft tissue contracture. Case Series: We presents six case
series of burn contracture in children with various
clinical appearance and predilection. The challanges of
burn injury in children especially in this case series is the
knowledge of parent in urban area such as nutritional
status, believing in traditional methods, timing to ask for
help, and the parental concern. Many challenges we
found when we discussion with parents. Discussion:
Along with the technology and knowledge development,
there is various way to overcome contractures. Some of
them such as, doing incisions in parallel to relaxed skin
tension lines also can minimize the chance of contracture.
In other hand, if contracture already happen,
reconstructure procedure should be done. Apart from the
impact of the injury and its treatment, parents’ reaction
and responses to the traumatic event have been shown
significantly to influence the child’s functioning,
wellbeing and phycological recovery. Conclussion:
Preventive procedure in contracture may leading to
decrease huge costs of care and significant physical,
psychological, and economic reactions on the burned
survivor and their families. Without having to face effects
of these contractures, excellent education and regular
patient monitoring can provide positive results.
Keywords :
Burn; Contracture; Children; Flaps; Reconstruction.