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Reconstruction
- Case Study 4
Contracture Release - Hypertrophic Scarring |
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Scald injury to the right upper arm, face,
and chest. It
was treated initially conservatively and had grafting
on
the right upper arm.
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Dense patch of hypertrophic scarring on the
lateral aspect of
the right upper arm causing some webbing of anterior
axillary fold
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Extent of contracture release
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The defect which opened up extended distal
to the elbow joint whereas the scar previously had
been above the elbow
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INTEGRA insitu at time of operation
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Appearance of new dermis 3 weeks later. The
silicone was removed and thin epidermal autograft
was applied.
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One week post-grafting. Appearance of the
flexed elbow shows the roll up of the underlying
dermis.
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One year post-op. The patient could detect
light touch, pinprick and hot and cold temperature
distinction in the
area of reconstructed skin.
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