Contractures in burn injury: Defining the problem

Short Title:
Contractures in burn injury: Defining the problem
Model System:
Reference Type:
Journal Article
Accession No.:
Journal of Burn Care and Research
Year, Volume, Issue, Page(s):
2006, vol. 27, issue 4, pp 508-514
Publication Website:
Demographic and medical data were collected for patients admitted to a regional burn center to determine the incidence and severity of large joint contractures and identify predictors of contracture development after burn injury. Contractures are defined as an inability to perform full range of motion of a joint. Primary outcome measures included the presence of contractures, number of contractures per patient, and the severity of contractures at the shoulder, elbow, hip, and knee at the time of hospital discharge. Of the 985 patients, 381 (38.7 percent) developed at least one contracture. The shoulder was the most frequently contracted joint (38 percent), followed by the elbow (34 percent), and the knee (22 percent). Most contractures were mild or moderate in severity. Statistically significant predictors of contracture development were length of stay, extent of burn, and graft. Predictors of the severity of contracture include graft size, amputation, and inhalation injury.
Schneider, J.C.; Holavanahalli, R.; Helm, P.; Goldstein, R.; Kowalske,K.
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