Abstract: 9.40 Analysis Of Functional Outcome On Post-Burn Upper Limb Contractures In Children In Two Different Countries

INTRODUCTION: To analyze the results of surgery and functional assessment in post-burn contractures in upper limbs in children. This evidence implies on how we think the impact of contracture on patients functions in two distant countries, with different cultures, skin colour and socio-economic life in Pristina - Kosovo and Bahawalpur - Pakistan. Study design: Descriptive case series study in two different countries. Place and duration of study: Clinic of Plastic and Reconstructive Surgery Center Prishtine-Kosova, Department of Plastic and Reconstructive Surgery-Bahawal. Victoria Hospital Bahawalpur and Department of Plastic and Reconstructive Surgery University from August 2009 to August 2014. MATERIALS AND METHODS: Patients from age 9 months to 17 years with post burn contractures in upper limbs with no metabolic derangement were included in the study. After proper assessment of the functional impairment, X-rays were done and then the surgical decision was made. Different procedures were used for release and coverage of contracture depending on the type of contracture. Patient was called for follow-up up to one year after discharge. RESULTS: 128 patients were included in study in both countries. 67 were male and 61 were female in B-Pk and 65 male and 63 female in Pr-Ks. Finger contractures are the most common. Best functional improvement was seen in the age group of 9 months to 5 years. CONCLUSIONS: Best results of study were obtained in young children. Joint stiffness plays an important role in functional improvement. Type of procedure has no relation with outcome of surgery, without any significant difference between two countries.