Role of Autologous Bone Suspension in Scalp Electric Burns
DOI:
https://doi.org/10.37591/rrjos.v12i3.3433Keywords:
Autologous bone grafting, scalp wounds, second degree burns, calvarial, osteogeneticsAbstract
Performing bone grafts is a complex and intricate procedure that demands a high level of skill to ensure successful outcomes. The reconstruction of calvarial defects poses a formidable challenge, primarily attributed to factors such as widespread infection, the compromised health condition of the patient, and the presence of comorbidities. Over the years, various approaches and techniques have been explored and documented in an effort to address the closure of defects in wounds of this nature. This article focuses on a specific case involving an 8-year-old child who suffered electrical burns on the scalp. The challenges presented in this case were manifold, including the need for meticulous wound bed preparation to address a second-degree post-burn wound. The complexity was further heightened by the requirement for autologous bone grafting to repair the calvarial defect. The inherent difficulty in bone grafting lies in its sensitivity to the unique circumstances of each case, and the success of the procedure is contingent upon the surgeon's expertise. Calvarial defects, in particular, demand a nuanced approach due to the intricate interplay of factors like infection, the overall health status of the patient, and the presence of additional medical conditions. The article explores the intricacies of the surgical intervention undertaken to address the challenges posed by the electrical burns sustained by the young patient. The use of autologous bone grafting emerges as a crucial aspect of the treatment strategy, aiming not only to close the wound but also to restore the integrity and structure of the calvarial region affected by the burns. The case study underscores the importance of a multifaceted approach and the application of advanced surgical techniques to navigate the complexities associated with calvarial defect repair in challenging clinical scenarios.References
Giannoudis PV, Dinopoulos H, Tsiridis E. Bone substitutes: an update. Injury. 2005 Nov;36 Suppl 3:S20-7.
Pape, Hans Christoph MD; Evans, Andrew MD†; Kobbe, Philipp MD. Autologous Bone Graft: Properties and Techniques. Journal of Orthopaedic Trauma 24():p S36-S40, March 2010.
Majors AK, Boehm CA, Nitto H, Midura RJ, Muschler GF. Characterization of human bone marrow stromal cells with respect to osteoblastic differentiation. J Orthop Res. 1997 Jul;15(4):546-57.
Strates BS, Stock AJ, Connolly JF. Skeletal repair in the aged: a preliminary study in rabbits. Am J Med Sci. 1988 Oct;296(4):266-9. doi: 10.1016/s0002- 9629(15)40860-2. PMID: 3195621.
Sandhu HS, Grewal HS, Parvataneni H. Bone grafting for spinal fusion. Orthop Clin North Am. 1999 Oct;30(4):685-98. doi: 10.1016/s0030- 5898(05)70120-6.
Schmidmaier G, Herrmann S, Green J, Weber T, Scharfenberger A, Haas NP, Wildemann B. Quantitative assessment of growth factors in reaming aspirate, iliac crest, and platelet preparation. Bone. 2006 Nov;39(5):1156-1163.
Li H, Pujic Z, Xiao Y, Bartold PM. Identification of bone morphogenetic proteins 2 and 4 in commercial demineralized freeze-dried bone allograft preparations: pilot study. Clin Implant Dent Relat Res. 2000;2(2):110-7. 8. Burchardt H. Biology of bone transplantation. Orthop Clin North Am. 1987 Apr;18(2):187-96.
Enneking WF, Burchardt H, Puhl JJ, Piotrowski G. Physical and biological aspects of repair in dog cortical-bone transplants. J Bone Joint Surg Am. 1975 Mar;57(2):237-52.
Goldberg VM, Stevenson S, Shaffer JW, Davy D, Klein L, Zika J, Field G. Biological and physical properties of autogenous vascularized fibular grafts in dogs. J Bone Joint Surg Am. 1990 Jul;72(6):801-10.
Downloads
Published
Issue
Section
License
Declaration and Copyright Transfer Form
(to be completed by authors)
I/ We, the undersigned author(s) of the submitted manuscript, hereby declare, that the above manuscript which is submitted for publication in the STM Journals(s), is not published already in part or whole (except in the form of abstract) in any journal or magazine for private or public circulation, and, is not under consideration of publication elsewhere.
- I/We will not withdraw the manuscript after 1 week of submission as I have read the Author Guidelines and will adhere to the guidelines.
- I/We Author(s ) have neither given nor will give this manuscript elsewhere for publishing after submitting in STM Journal(s).
- I/ We have read the original version of the manuscript and am/ are responsible for the thought contents embodied in it. The work dealt in the manuscript is my/ our own, and my/ our individual contribution to this work is significant enough to qualify for authorship.
- I/We also agree to the authorship of the article in the following order:
Author’s name
1. ________________
2. ________________
3. ________________
4. ________________
| We Author(s) tick this box and would request you to consider it as our signature as we agree to the terms of this Copyright Notice, which will apply to this submission if and when it is published by this journal. |