Permanent sequelae after burns and tested procedures to influence them.
Although permanent sequelae of deep burns always persist, they can be very favourably influenced if we start soon after the injury. There are several possibilities: very early rehabilitation by positioning and supports prevents the shortening of tendons and ligaments surrounding the large joints and thus reduces post-traumatic oedema. By selecting the correct surgical technique at the right moment, we achieve an optimal course of healing and scar formation. Great attention must be paid to infection and its prevention. After healing it is important to apply compressive aids soon, preferably in combination with silicone and similar materials. For lubrication it is better to use creams with a high water content. Ensure the optimal mental well-being of affected patients. If the patient communicates well, do not hesitate to use psychoanalytic methods to reduce emotional and verbal blocks related to the injury.
Bláha
J
J
Prague Burn Centre, Faculty Hospital Královské Vinohrady, Charles University, Prague, Czech Republic.
D002056:Burns / Q000150:complications / Q000628:therapy*; D002921:Cicatrix / Q000209:etiology / Q000517:prevention & control; D003286:Contracture / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D026741:Physical Therapy Modalities; D011182:Postoperative Care; D016038:Skin Transplantation; D014945:Wound Healing