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    A devastating cause of burns: Synthetic cannabinoid abuse
    (2021) Karatan, Berrak; Yamak, Kamil
    Objective: Synthetic cannabinoids are human-made chemicals that are agonists of cannabinoid receptors. Globally, they have been marketed illegally for their psychoactive effects since the 2000s. The first synthetic cannabinoid traffic in Turkey was detected in the early 2010s. Since then, their psychiatric and psychological complications have become a growing concern. Bonzai, a common form of synthetic cannabinoid in our country, has varying mind-altering effects, from depression to euphoria. This altered state of mind makes users prone to trauma. Herein, we present our experiences of Bonzai-related burn cases. Materials and Methods: A total of 12 patients were referred to the Plastic Surgery, Orthopedics, and Traumatology Clinics between January 2018 and December 2020. Results: Their ages ranged from 18 to 57 years (average age: 33.5 years). The total burn surface area ranged from 2% to 40%. Five patients had been operated on due to burn injuries; all of these patients had complications and secondary surgeries. Two patients were lost after admission to the hospital, and three patients were lost during follow-up. Only one patient was verified to be clean from drugs after discharge from the hospital. Conclusions: We aim to point out the alarming danger of this synthetic drug, which can affect all ages and walks of life.
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    Managing severe postburn wrist flexion contracture by proximal row carpectomy and abdominal interpolation flap
    (Sage Publications Inc, 2022) Karatan, Berrak; Yamak, Kamil
    Introduction: Postburn upper extremity contractures can greatly diminish the quality of life. To successfully manage these contractures and achieve successful functional outcomes, an optimal surgical method should be planned to address all affected tissues on the extremities. Conventional soft tissue transfers after releasing the contracture, such as skin grafts or flaps, may be insufficient. In addition to capsulotomy, tendon release, and lengthening procedures, more aggressive modalities may be indicated. Methods: In this retrospective study, patients who developed wrist flexion deformities due to burn injuries and underwent proximal row carpectomy and abdominal interpolation flaps were included. Results: Between January 2019 and June 2020, 5 patients underwent surgery using this technique. All patients were male, 2 had thermal burns, 2 had electrical burns, and 1 had chemical burns. Preoperatively, all patients had severe flexion deformities ranging from 70 degrees to 85 degrees. There were no postoperative complications, and stable wrists with a good and functional alignment were achieved, although the preoperative and postoperative range of motion differences were limited, where a postoperative range of motions were ranging from 5 to 15 in terms of extension, 15 to 20 in terms of flexion. Preoperative QuickDash scores were between 79.5 and 95.5, postoperative scores ranged from 25 to 36.4. Conclusion Proximal row carpectomy shortens the length of the wrist, resurfaces the wrist joint, and provides a release in tendons and other soft tissues. Together with soft tissue transfer, this technique can be used for severe wrist flexion contractures.