Your invitation to participate
On behalf of the 2019 Organising Committee we are delighted to invite you to participate in a pre-meeting workshop – Axilla Splinting for Senior Clinicians, facilitated by Stephanie Wicks, Claire Toose & Rhi Thomas.
Burn scar contractures involving the axilla region are one of the most challenging areas to manage for Burns Therapists. Traditionally splints designed to stretch the axilla have been limited to positioning at mid-range shoulder abduction to minimise the risk of neural compromise. There is still no consensus regarding the best time to initiate splinting, optimal positioning for axilla contracture prevention and for how long splinting should continue to optimise outcome without compromising safety. The aeroplane splint has been described in the literature with positioning of the axilla at approximately 90 degrees of abduction to maintain a stretch on the axilla region. Splinting in this position does not address preservation of range beyond this mid-range position which can be difficult to achieve through exercise alone, particularly in paediatric patients. A recently completed 10-year retrospective review of outcomes from our paediatric burns centre using early end of range splinting for axilla burns in paediatric patients has shown very good functional outcomes with very low rates of surgical release required in the first 24 months post burn and no lasting neurovascular complications recorded.
Splinting the axilla towards end of range abduction from the acute stage of wound healing and continuing through all stages of scar development to maturation will be presented as an alternate treatment option to traditional splinting. Outcome data related to the efficacy and safety of this splinting in a paediatric cohort will be presented and attendees will have the opportunity to learn how to fabricate the splint and design a splinting regime aimed at preventing axilla contracture.
- Describe the current evidence related to splinting of the axilla region and list important safety considerations in splinting this area
- Design and fabricate an end of range axilla splint for use in paediatric patients from both POP and thermoplastic splinting materials
- Prescribe a splinting regime using the end of range axilla splint aimed at preventing contracture while minimising risk of complications