Case Report
Copyright ©The Author(s) 2021.
World J Clin Cases. Sep 16, 2021; 9(26): 7786-7797
Published online Sep 16, 2021. doi: 10.12998/wjcc.v9.i26.7786
Table 1 General characteristics of the 5 cases

Sex
Age (yr)
Cause of injury
Total body surface area (%)
Main body parts
Skin grafting
Rehabilitation issues
Case 1Male31Flame72HandsSplit-thickness skin graftingHypertrophic burn scar, flexion deformity, narrowing of the first web space
Case 2Male2Flame2Left handSplit-thickness skin graftingHypertrophic burn scar, left syndactyly
Case 3Male6FlameUnknownFaceNo skin graftingHypertrophic burn scar of the jaw
Case 4Male3FlameUnknownRight lower limbMesh graftingHypertrophic burn scar
Case 5Male11Flame71Lower limbsSkin graftingFlexion contracture of bilateral popliteal fossa caused by scar contracture
Table 2 Main rehabilitation measures and the injuries of the patients

Main rehabilitation measures
Main problems
New injuries
Remedies
Outcomes
Case 1 (Figure 1)Compression therapy; Functional orthosisOrthotic device was not adjusted properlySignificantly reduced first web space angle, thumb abduction and flexion contracture of metacarpophalangeal jointAdded an extension position orthosis that was alternated with a functional orthosisAppearance and function of the hands were improved significantly
Case 2 (Figure 2)Compression therapy, home rehabilitation, regular follow-upWrong wrapping method, excessive compression, not followed regularlySyndactyly, hyperplasia, and hypertrophy of the distal soft tissue of the fingers on the left handEducated the parents about rehabilitation training, demonstrated correct wrapping methods, surgically corrected syndactyly, followed up regularlyThe finger webs were evenly spaced, and the soft tissue hypertrophy of the little finger was alleviated
Case 3 (Figure 3)Compression therapy with elastic headgearElastic headgear was worn too long, size was not adjusted in time; not followed regularlyRestricted development of alveolar bone; restricted mouth opening and occlusal dysfunctionProvided modified elastic headgear in time and optimized the wearing scheme; followed up every monthRestricted mouth opening was relieved; occlusal function returned to normal, and the facial appearance was significantly improved
Case 4 (Figure 4)Compression therapyElastic bandage was applied with too much pressure for a long timeLimb muscle atrophyAdjusted the compression intensity of the elastic bandage, strengthened functional exercise of the affected limb, performed massage and kerotherapy to promote blood circulationDeformity of the lower leg was improved slightly
Case 5 (Figure 5)Functional exercise, antiscar treatmentViolent correction of lower limb flexion deformityFemoral fractureImmobilized the affected limb with a plaster castThe fracture gradually healed
Table 3 The status of the patient at the follow-up visit at 5 year after the burn
Body part
Left circumference (the injured side, cm)
Right circumference (cm)
Ankle joint2019
Thickest part of the calf2025
10 cm below the knee21.221
Thickest part of the thigh3033
Leg length65.567