Posts

Image
Patient came with electric burns of upper chest, next, shoulder left and axilla and back of the shoulder. Performed multiple debridements and once wounds became healthy we performed skin grafting of burn wounds including axilla.  Postoperatively his shoulder was placed in abduction with airplane splint till the grafts were healed. After graft healing mobilisational exercises were taught to maintain the shoulder abduction and prevent contracture formation of the shoulder

Electrical burns with compartment syndrome - Limb salvage

Image
Patient came with history of electric shock and burns with entry wound in left hand and exit wound in right foot. Presented to Emergency with Acute compartment syndrome. Immediate release of the compartment was done by fasciotomy.  The distal forearm muscles the pronator quadratus was necrosed due to the passage of electricity. After due Debridement the residual wound due to fasciotomy was covered with the skin grafting and the wrist wound with exposed flexor tendons and forearm neuromuscular bundles was covered with  Abdominal flap. Flap was divided after 3 weeks and donor site was closed primarily.