The prevalence and development of burn scar contractures: a prospective multicenter cohort study

H.J. Schouten, M.K. Nieuwenhuis, M.E. van Baar, C.P. van der Schans, A.S. Niemeijer, P.P.M. van Zuijlen

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

OBJECTIVE: The objective of this study was to identify the prevalence and development of after burn joint limitation by scar contracture.

METHODS: In 2011-2012, consecutive patients were enrolled in this prospective multi center cohort study. Eligible were all patients admitted to the 2 participating Dutch Burn Centers with acute burns across or adjacent to the neck, shoulder, elbow, wrist, hip, knee and ankle. Passive range of motion was measured in week 3 and subsequently every 3 weeks until discharge, on discharge from the hospital and during follow-up at the outpatient clinic at 3-6-9-12 months after burn.

RESULTS: Limited range of motion of non-operated burned joints (N = 195) was restored back to normal within 6-9 months. From the operated burned joints (N = 353), 58.6% demonstrated a limited range of motion at 3-6 weeks declining to 20.9% at 12 months. The upper part of the body was affected more often by scar contracture than the lower part. At 12 months, the shoulder was limited most often (51.3%) and the hip least often (0%). Reconstructive surgery was performed in 13.3% of the operated burned joints.

CONCLUSIONS: Persistent joint limitations at 12 months were exclusively present in joints that needed skin grafting for rapid wound closure. The upper part of the body was more prone to contracture formation than the lower part, from which the shoulder was most often involved. More than half of the limited range of motion seen in the acute phase, resolved in the long term. The need for reconstructive surgery was less than expected.

Original languageEnglish
Pages (from-to)783-790
JournalBurns : journal of the International Society for Burn Injuries
Volume45
Issue number4
DOIs
Publication statusPublished - Jun 2019

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Contracture
Multicenter Studies
Cicatrix
Cohort Studies
Joints
Articular Range of Motion
Reconstructive Surgical Procedures
Human Body
Hip
Burn Units
Skin Transplantation
Elbow
Ambulatory Care Facilities
Wrist
Burns
Ankle
Knee
Neck
Wounds and Injuries

Keywords

  • burn injuries
  • scars

Cite this

@article{31d39dead4044f7da57ff14107f92f3d,
title = "The prevalence and development of burn scar contractures: a prospective multicenter cohort study",
abstract = "OBJECTIVE: The objective of this study was to identify the prevalence and development of after burn joint limitation by scar contracture.METHODS: In 2011-2012, consecutive patients were enrolled in this prospective multi center cohort study. Eligible were all patients admitted to the 2 participating Dutch Burn Centers with acute burns across or adjacent to the neck, shoulder, elbow, wrist, hip, knee and ankle. Passive range of motion was measured in week 3 and subsequently every 3 weeks until discharge, on discharge from the hospital and during follow-up at the outpatient clinic at 3-6-9-12 months after burn.RESULTS: Limited range of motion of non-operated burned joints (N = 195) was restored back to normal within 6-9 months. From the operated burned joints (N = 353), 58.6{\%} demonstrated a limited range of motion at 3-6 weeks declining to 20.9{\%} at 12 months. The upper part of the body was affected more often by scar contracture than the lower part. At 12 months, the shoulder was limited most often (51.3{\%}) and the hip least often (0{\%}). Reconstructive surgery was performed in 13.3{\%} of the operated burned joints.CONCLUSIONS: Persistent joint limitations at 12 months were exclusively present in joints that needed skin grafting for rapid wound closure. The upper part of the body was more prone to contracture formation than the lower part, from which the shoulder was most often involved. More than half of the limited range of motion seen in the acute phase, resolved in the long term. The need for reconstructive surgery was less than expected.",
keywords = "burn injuries, scars, brandwonden, littekens",
author = "H.J. Schouten and M.K. Nieuwenhuis and {van Baar}, M.E. and {van der Schans}, C.P. and A.S. Niemeijer and {van Zuijlen}, P.P.M.",
note = "Copyright {\circledC} 2019 Elsevier Ltd and ISBI. All rights reserved.",
year = "2019",
month = "6",
doi = "10.1016/j.burns.2019.03.007",
language = "English",
volume = "45",
pages = "783--790",
journal = "Burns : journal of the International Society for Burn Injuries",
issn = "0305-4179",
publisher = "Elsevier Limited",
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}

The prevalence and development of burn scar contractures : a prospective multicenter cohort study. / Schouten, H.J.; Nieuwenhuis, M.K.; van Baar, M.E.; van der Schans, C.P.; Niemeijer, A.S.; van Zuijlen, P.P.M.

In: Burns : journal of the International Society for Burn Injuries, Vol. 45, No. 4, 06.2019, p. 783-790.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - The prevalence and development of burn scar contractures

T2 - a prospective multicenter cohort study

AU - Schouten, H.J.

AU - Nieuwenhuis, M.K.

AU - van Baar, M.E.

AU - van der Schans, C.P.

AU - Niemeijer, A.S.

AU - van Zuijlen, P.P.M.

N1 - Copyright © 2019 Elsevier Ltd and ISBI. All rights reserved.

PY - 2019/6

Y1 - 2019/6

N2 - OBJECTIVE: The objective of this study was to identify the prevalence and development of after burn joint limitation by scar contracture.METHODS: In 2011-2012, consecutive patients were enrolled in this prospective multi center cohort study. Eligible were all patients admitted to the 2 participating Dutch Burn Centers with acute burns across or adjacent to the neck, shoulder, elbow, wrist, hip, knee and ankle. Passive range of motion was measured in week 3 and subsequently every 3 weeks until discharge, on discharge from the hospital and during follow-up at the outpatient clinic at 3-6-9-12 months after burn.RESULTS: Limited range of motion of non-operated burned joints (N = 195) was restored back to normal within 6-9 months. From the operated burned joints (N = 353), 58.6% demonstrated a limited range of motion at 3-6 weeks declining to 20.9% at 12 months. The upper part of the body was affected more often by scar contracture than the lower part. At 12 months, the shoulder was limited most often (51.3%) and the hip least often (0%). Reconstructive surgery was performed in 13.3% of the operated burned joints.CONCLUSIONS: Persistent joint limitations at 12 months were exclusively present in joints that needed skin grafting for rapid wound closure. The upper part of the body was more prone to contracture formation than the lower part, from which the shoulder was most often involved. More than half of the limited range of motion seen in the acute phase, resolved in the long term. The need for reconstructive surgery was less than expected.

AB - OBJECTIVE: The objective of this study was to identify the prevalence and development of after burn joint limitation by scar contracture.METHODS: In 2011-2012, consecutive patients were enrolled in this prospective multi center cohort study. Eligible were all patients admitted to the 2 participating Dutch Burn Centers with acute burns across or adjacent to the neck, shoulder, elbow, wrist, hip, knee and ankle. Passive range of motion was measured in week 3 and subsequently every 3 weeks until discharge, on discharge from the hospital and during follow-up at the outpatient clinic at 3-6-9-12 months after burn.RESULTS: Limited range of motion of non-operated burned joints (N = 195) was restored back to normal within 6-9 months. From the operated burned joints (N = 353), 58.6% demonstrated a limited range of motion at 3-6 weeks declining to 20.9% at 12 months. The upper part of the body was affected more often by scar contracture than the lower part. At 12 months, the shoulder was limited most often (51.3%) and the hip least often (0%). Reconstructive surgery was performed in 13.3% of the operated burned joints.CONCLUSIONS: Persistent joint limitations at 12 months were exclusively present in joints that needed skin grafting for rapid wound closure. The upper part of the body was more prone to contracture formation than the lower part, from which the shoulder was most often involved. More than half of the limited range of motion seen in the acute phase, resolved in the long term. The need for reconstructive surgery was less than expected.

KW - burn injuries

KW - scars

KW - brandwonden

KW - littekens

UR - http://www.mendeley.com/catalogue/prevalence-development-burn-scar-contractures-prospective-multicenter-cohort-study

U2 - 10.1016/j.burns.2019.03.007

DO - 10.1016/j.burns.2019.03.007

M3 - Article

C2 - 30948277

VL - 45

SP - 783

EP - 790

JO - Burns : journal of the International Society for Burn Injuries

JF - Burns : journal of the International Society for Burn Injuries

SN - 0305-4179

IS - 4

ER -