A Comparative Study Of Functional Outcome Of Capsulotomy And Volar Plate Release In Severe Post Burn Hand Deformity
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Date
2024-12
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Publisher
Indian Society for Health and Advanced Research
Abstract
Introduction: Burn injuries are a leading cause of trauma-related deaths worldwide, with significant functional and aesthetic implications, particularly when affecting the hands. Contractures and scarring from burns can severely impair joint and tissue function, causing long-term disability and deformity. This study aims to evaluate the functional outcomes of capsulotomy and volar plate release in managing severe post-burn hand deformities. Material And Method: This is a hospital-based prospective study conducted over 24 months at the LLR Hospital GSVM Medical College, Kanpur, including 50 patients with male and female patients of all age groups with Grade 3 and Grade 4 burn contractures. Excluded those with infection or re-contracture at the same site after previous surgeries. Functional and aesthetic satisfaction scores, Total active motion and post-operative complications were recorded. In this study the mean TAM for all fingers of the hand was <180° at preoperativeResults: assessment. This is clearly a significant functional loss, and surgical reconstruction had a significant impact on the improvement in the score to 253.6° in capsulotomy and 243.2° in volar plate release group after 1 year, which is a good outcome .Functional Outcomes-Both procedures resulted in significant improvements in functional and aesthetic satisfaction, with mean scores of 4.6±0.75 and 4.84±0.88 for functional satisfaction, and 4.16±0.78 and 4.48±0.81 for aesthetic satisfaction, respectively. Both capsulotomy and volar plate releaseConclusion: significantly improve functional and aesthetic outcomes in severe post-burn hand deformities. Early surgical intervention combined with supervised physiotherapy is crucial in mitigating the long-term impacts of burn injuries on hand functionality and appearance.
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Keywords
Total active motion, capsulotomy, volar place release, resurfacing procedure.
Citation
Upadhyay Vishal Kumar, Shanker Prem, Singh R. K. . A Comparative Study Of Functional Outcome Of Capsulotomy And Volar Plate Release In Severe Post Burn Hand Deformity. International Journal of Scientific Research. 2024 Dec; 13(12): 20-22