Post-burn axillary contractures in pediatric patients: a retrospective survey of management and outcome.
Over a 5-year period, 63 children aged 15 years and less had surgical correction of 74 axillary contractures in our center. They were grouped into three severity categories based on the Kurtzman and Stern's classification. Accordingly, 56 were type I, 11 were type II and 7 were type III axillary contractures. While local flaps sufficed in all the type I contractures, skin grafts and fasciocutaneous flaps were required in types II and III. The principal movements at the shoulder joint were assessed at 2 years after, and functional outcome classified into three outcome categories. Excellent result (A) was obtained in all the type I contractures, 82% of the type II contractures and 28% of the type III contractures. Good result (B) was obtained in 18% of the type II and 57% of the type III contractures and poor result (C) was obtained in 14% of the type III contractures.
Asuku
Malachy E
ME
Division of Plastic and Reconstructive Surgery, Department of Surgery, Ahmadu Bello University Teaching Hospital, P M B 1026, Zaria 810001, Kaduna State, Nigeria. measuku@yahoo.ca
Ibrahim
Abdulrasheed
A
Ijekeye
Ferdinand O
FO
D000293:Adolescent; D001365:Axilla / Q000293:injuries* / Q000601:surgery; D002056:Burns / Q000150:complications* / Q000534:rehabilitation; D002648:Child; D002675:Child, Preschool; D002921:Cicatrix / Q000145:classification / Q000601:surgery; D003286:Contracture / Q000209:etiology / Q000503:physiopathology / Q000534:rehabilitation / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D009549:Nigeria; D016059:Range of Motion, Articular; D019651:Plastic Surgery Procedures / Q000379:methods; D012189:Retrospective Studies; D012782:Shoulder / Q000601:surgery; D012785:Shoulder Joint / Q000503:physiopathology; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps; D016896:Treatment Outcome