Extract
Osseous ankylosis following thermal burns is an uncommon but disabling
problem1,2.
There are two different types of bone ankylosis. The first type is due to
extra-articular bridging heterotopic ossification with preservation of the
underlying joint. This type typically responds to physical therapy and other
treatment modalities, including surgical excision. The second type of bone
ankylosis is intraarticular and occurs most commonly at the interphalangeal
joints, resulting in serious functional and cosmetic
problems2. There are
several alternatives for treatment, including arthrodesis, osteotomy,
arthroplasty, and amputation. However, treatment is always very difficult and
the outcomes can be
discouraging2,3.