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Burn Surgery
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Your search returned 25 results
from the time period: last 90 days.
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The Journal of bone and joint surgery. American volume 
BACKGROUND: It is unknown whether unstable chondral lesions observed during arthroscopic partial meniscectomy (APM) require treatment. We examined differences at 1 year with respect to knee pain and other outcomes between patients who had debridement (CL-Deb) and those who had observation (CL-noDeb) of unstable chondral lesions encountered during APM. METHODS: Patients who were ≥30 years old and undergoing APM were randomized to receive debridement (CL-Deb group; n = 98) or observation (CL-noDeb; n = 92) of unstable Outerbridge grade-II, III, or IV chondral lesions. Outcomes were evaluated preoperatively and at 8 to 12 days, 6 weeks, 3 months, 6 months, and 1 year postoperatively. Outcome measures included the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Knee Injury and Osteoarthritis Outcome Score (KOOS), visual analog scale (VAS) pain score, Short Form-36 (SF-36) health survey, range of motion, quadriceps circumference, and effusion. The primary outcome was the WOMAC pain score at 1 year. T tests were used to examine group differences in outcomes, and the means and standard deviations are reported. RESULTS: There were no significant differences between the groups with respect to any of the 1-year outcome scores. Compared with the CL-Deb group, the CL-noDeb group had improvement in the KOOS quality-of-life (p = 0.04) and SF-36 physical functioning scores (p = 0.01) as well as increased quadriceps circumference at 8 to 12 days (p = 0.02); had improvement in the pain score on the WOMAC (p = 0.02) and KOOS (p = 0.04) at 6 weeks; had improvement in SF-36 physical functioning scores at 3 months (p = 0.01); and had increased quadriceps circumference at 6 months (p = 0.02). CONCLUSIONS: Outcomes for the CL-Deb and CL-noDeb groups did not differ at 1 year postoperatively. This suggests that there is no benefit to arthroscopic debridement of unstable chondral lesions encountered during APM, and it is recommended that these lesions be left in situ. LEVEL OF EVIDENCE: Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.
Muscular and Skeletal Diseases (3)
Osteoarthritis (3), Joint Instability (1), more mentions
2. Antiseptics for burns.  
Date: 07/12/2017
The Cochrane database of systematic reviews 
... were no restrictions based on language, date of publication or study setting AbstractText: We included randomised controlled trials (RCTs) that enrolled people with any burn wound and assessed the use of a topical treatment with antiseptic properties AbstractText: Two review authors independently performed study selection, risk of bias assessment and ...
Infectious Diseases (5)
Infections (10), Bacterial Infection (1), more mentions
Journal of burn care & research : official publication of the American Burn Association
Abstract: Fatigue is a commonly reported but not well-documented symptom following burn injury. This study's objective was to determine the frequency and severity of fatigue over time and to identify predictors of fatigue in the adult burn population. Data from the Burn Model System National Database (April 1997 to January 2006) were analyzed.
Journal of the American College of Surgeons
AbstractText: Mental health disorders are prevalent before and after burn injury. However, the impact of burn injury on risk of subsequent mental health disorders is unknown AbstractText ... All adults who survived to discharge following major burn injury were included, and all mental health-related emergency department visits ... binomial generalized estimating equations AbstractText: Among 1530 patients with major burn injury, mental health visits were common both before (141 per 1000 ...
Neuroscience (1)
Mental Disorders (1), more mentions
Surgery
... to acute care facilities in the 5 years after major burn injury AbstractText: Data derived from several population-based administrative databases were ... aged ≥16 years who survived to discharge after a major burn injury in 2003-2013 were followed for 1-5 years... 0.65-0.92) AbstractText: Acute health care utilization is frequent after burn injury and is most commonly related to traumatic injuries.
Annals of surgery
However, major burn injury is precluded from these studies. The optimal transfusion strategy in major burn injury is thus needed but remains unknown AbstractText: This prospective randomized ... with 20% or more TBSA burn similar in age, TBSA burn, and inhalation injury... did not decrease BSI, mortality, or organ dysfunction in major burn injury, these outcomes were no worse than the liberal strategy (Clinicaltrials ...
Immune System Diseases (1)
Infections (2), more mentions
Burns : journal of the International Society for Burn Injuries
Recurrent nonhealing wound in old burn scar may be due to Heterotopic Ossification..
Heterotopic Ossification (2), more mentions
Burns : journal of the International Society for Burn Injuries
Globally, a large number of burn centres advocate quantitative cultures of wound biopsies for patient management, since there is assumed to be a direct link between the bioburden of a burn wound and the risk of microbial invasion. Given the conflicting study findings in this area, a systematic review was warranted AbstractText: Bibliographic databases were searched with no language restrictions ...
Infections (2), Sepsis (2), more mentions
PloS one
Abstract: Bacteriophages could be used along with burn wound care products to enhance antimicrobial pressure during treatment... that are traditionally used for the prevention and treatment of burn wound infection might affect the activity of phages... imperative to determine the counteraction of therapeutic phage preparations by burn wound care products before application in patients.
Wound Care (4)
Wound Infections (1), more mentions
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
INTRODUCTION: Neck burn sequelae remain a major challenge for the reconstructive surgeon. To achieve satisfactory functional and aesthetic results, the anterior neck aesthetic unit must be covered as a single unit. In cases where free flaps are required, harvesting a flap of sufficient size can cause major donor site morbidity. In 1994, we published our favorable 6-year experience of reconstructing neck burn sequelae with an extended circumflex scapular flap (ECSF). Since then, we have made several modifications to the technique, resulting in improved long-term functional and aesthetic results. Herein, we present our 30-year, 150-patient experience with the ECSF flap for the treatment of anterior neck burn sequelae. METHODS: We retrospectively reviewed the records of 150 consecutive patients who underwent ECSF procedure for neck resurfacing performed or supervised by the senior author from 1986 to 2015. All cases were assessed for function, aesthetics, satisfaction, and complications. RESULTS: A total of 160 ECSFs were used in 150 patients. Ninety-nine patients were available for updated follow-up [1-30 years (mean, 15.3)]. At the last follow-up, 92 patients regained full range of motion, and 90 patients had acceptable cervicomental angle (<110°). The mean patient satisfaction score was 4.8/5. Nine flaps (5.6%) failed completely and were successfully replaced. Twenty-two patients (15%) had distal necrosis of the flap. Fifteen of these 22 patients underwent complementary flaps to replace the necrotic area, and all 15 patients regained full range of motion. CONCLUSIONS: For neck burn sequelae, the ECSF provides safe and effective long-term functional and aesthetic results with minimal donor site morbidity.
Necrosis (1), more mentions
Journal of burn care & research : official publication of the American Burn Association
The skin graft is a prevalent reconstructive method for burn injuries. We have been applying external wire frame fixation methods in combination with skin grafts since 1986 and have experienced better outcomes in percentage of successful graft take. The overall purpose of this method was to further secure skin graft adherence to wound beds in hard to stabilize areas. There are also location-specific benefits to this technique such as eliminating the need of tarsorrhaphy in periorbital area, allowing immediate food intake after surgery in perioral area, and performing less invasive fixing methods in digits, and so on. The purpose of this study was to clarify its benefits and applicable locations. We reviewed 22 postburn patients with skin graft reconstructions using the external wire frame method at our institution from December 2012 through September 2016. Details of the surgical technique and individual reports are also discussed. Of the 22 cases, 15 (68%) were split-thickness skin grafts and 7 (32%) were full-thickness skin grafts. Five cases (23%) involved periorbital reconstruction, 5 (23%) involved perioral reconstruction, 2 (9%) involved lower limb reconstruction, and 10 (45%) involved digital reconstruction. Complete (100%) survival of the skin graft was attained in all cases. No signs of complication were observed. With 30 years of experiences all combined, we have summarized fail-proof recommendations to a successful graft survival with an emphasis on the locations of its application.
Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA
... aimed to evaluate the hip fracture risk for patients with burn injury. A total of 16,430 patients with burn injury had an adjusted hazard ratio of 1.54 to encounter a ... future studies focusing on mechanisms leading to fracture associated with burn injury AbstractText: The relationship between burn injury and hip fracture risk is unclear ...
Muscular and Skeletal Diseases (12), Endocrine Disorders (2)
Osteoporosis (3), Diabetes Mellitus (2), more mentions
Journal of burn care & research : official publication of the American Burn Association
Hypermetabolic and catabolic states in large TBSA burns lead to higher basal body temperature and tachycardia. These metabolic changes complicate the diagnosis of bacteremia and sepsis. Current indications for obtaining blood cultures (BCs) in this population are poorly described and nonstandardized. Fever, leukocytosis, and lactic acidosis are common during sepsis. This study aims to identify limits of these parameters with the highest rates of bacteremia. A retrospective review was performed for burn patients with > 20% TBSA between January 2009 and June 2011. BCs were collected with corresponding body temperature, white blood cell (WBC) count, and serum lactate levels. Positive culture rates were analyzed with univariate and multivariate analysis. Seventy-one patients met inclusion criteria and 360 BCs were included in data analysis. Cultures taken with temperature > 38.9C were significantly more positive (P = .01) than temperatures between 38 and 38.9C. There were significantly more positive cultures when the WBC count was < 4.5 compared with those ≥ 4.5 × 10/µl (P = .04). Lactate was an independent predictor of bacteremia (OR, 1.81; 95% CI, 1.21-12.71). Cultures were significantly more positive when the lactate level was ≥ 2.5 compared with < 2.5 mg/dL (P = .02). A temperature ≥ 38.5C and a lactate ≥ 2.5 mg/dL corresponded to a 28.6% positive culture rate compared with 4.8% for all other scenarios (P = .001). This study demonstrates that body temperature > 38.9C, WBC < 4.5 × 10/µl, and serum lactate ≥ 2.5 mg/dL have the highest rate for positive BCs in severe burn patients. A combination of leukopenia and pyrexia as well as lactic acidosis and pyrexia represent even higher specificity for positive BC in these patients.
Bacteremia (2), Lactic Acidosis (2), Sepsis (2), more mentions
Burns : journal of the International Society for Burn Injuries
... relationship persisted after adjustment for ISS, HR, temperature, presence of burn injury, TBI, and AKI. Burn injury was associated with mortality in the full multivariate analysis... MAP decile appears to be limited to casualties with associated burn injury, even after adjustment for TBI, AKI, and ISS, which takes into account the severity of the burn injury ...
Cardiovascular Diseases (3)
Traumatic Brain Injuries (4), Hypertension (3), Acute Kidney Injury (1), more mentions
Pain
Abstract: Over half of individuals experiencing major thermal burn injury (MThBI) receive an autologous skin graft (autograft), in which skin ... itch severity in the 6 weeks to 12 months after burn injury compared to European Americans (NRS mean difference=1.86 [0.80-2.93 ... development in African Americans in the acute recovery phase after burn injury.
American journal of surgery
Abstract: Burn injury rates appear to be influenced by socioeconomic status (SES) and ... gender globally, but the impact of poverty and gender on burn injury has not been studied in a developed country... While poverty did not appear to increase the risk of burn injury overall in a mixed population, it was associated with a significant increase in the risk of burn injury in women ...
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research
Abstract: Severe burn injury triggers massive alterations in stress hormone levels with a dose-dependent hypermetabolic status including increased bone resorption... In total 32 male patients with a severe burn injury (median total body surface area [TBSA], 40.5%; median age 40.5 years) and 28 matched male controls (median age 38.3 ...
Muscular and Skeletal Diseases (2)
Bone Resorption (2), Osteoporosis (1), more mentions
Journal of burn care & research : official publication of the American Burn Association
Abstract: Gender-specific differences in the outcome of patients with burn injury have been recognized in the past with female patients being at a higher risk of mortality. We hypothesized that early post-burn interleukin-6 (IL-6) cytokine levels may contribute to the different gender-specific outcome. We retrospectively examined 94 burned patients who were treated in the Burn ...
Journal of burn care & research : official publication of the American Burn Association
Abstract: Soft-tissue calcifications after burn injury commonly develop in periarticular regions, especially in the elbow joint ... However, the incidence of extra-articular soft-tissue calcification after burn injury has rarely been reported... Furthermore, we propose that such patients with burn injury should undergo follow-up in outpatient clinic and x-ray ...
Burns : journal of the International Society for Burn Injuries
Inclusion criterion was a principal diagnosis of burn injury... days, p=0.04), but total charges and costs were similar for both groups (amDiff: $16,268 ($-5093-$37,629), p=0.13 and $3275 ($-2337-$8888), p=0.25).Weekend admission is associated with increased mortality among patients with burn injury >65years old.
Septic Shock (1), more mentions
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