J Korean Fract Soc.  1996 Oct;9(4):1034-1038.

Epidemiology and treatment of The Fractures in Burned Patients

• Chang HG
• Jeong WH
• Lee UJ
• Chang JD
• Cho WH
• Lee CJ

Abstract

The fractures in the burned patients is more complicated mechanism. There are controversies in the treatment of the fractures in the burned patients. We analysed the fracture incidence, the type of burn, the mode of injury, the mean burn percentage, the fracture site and the results of treatment of the if fractures in 44 patients selected from 3300 burned patients in Hangang sacred-heart hospital during recent 5 years. The incidence of the fractures in the burned patients was 1.3%, the predominant type of the burn was flame burn(72.7%), the mean burn percentage was 28.7% of the total body surface. The mode of injury mainly consisted of fall down after burn(50%). The most common fracture site was thoracolumbar spine(11 cases). In 12 long bonr fractures, 5 cases(Tibia:3 case, Femur:2 case) were treated with operative method. But, the osteomyelitis was not developed in ail cases. We concluded that the operative treatment is recommended in severe burned fracture patients for pain relief, comfortable wound manage, rigid fixation and early exercise.

Keyword

Burn; Fracture

MeSH Terms

Burns*
Epidemiology*
Humans
Incidence
Methods
Osteomyelitis
Wounds and Injuries