Periarticular Soft-Tissue Changes as a Late Consequence of Burns

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Abstract
Periarticular calcification and ossification occurred in twenty-four (3.3 per cent) of 750 patients with burns. Various types of tissue change were observed, both clinically and roentgenographically. These late periarticular changes were so closely associated with extensive and severe burning that the possibility of other traumatic sources was eliminated. On the basis of their observations and experience the authors believe that infection of the wounds and insufficient and unsuitable rehabilitation during treatment might well be a cause of calcification and ossification. Attempts to cure mature or developing ossification met with little success both cosmetically and functionally. On the other hand, prevention of infection and strict asepsis in the treatment of burned surfaces are important as is rapid skin coverage. These methods will shorten the time of treatnment and will allow early careful exercise of the joints so that stiffness may be avoided.

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