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Periarticular Soft-Tissue Changes as a Late Consequence of Burns
Jaromír Kolár; Radko Vrabec
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Radiological Clinic and the Clinic of Plastic Surgery, Charles University, Prague
1959 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1959; 41:103-111 
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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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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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