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Algorithm for Primary Full-thickness Skin Grafting in Pediatric Hand Burns
Archives of Plastic Surgery ; : 483-488, 2012.
Artículo en Inglés | WPRIM | ID: wpr-110864
ABSTRACT

BACKGROUND:

Pediatric hand burns are a difficult problem because they lead to serious hand deformities with functional impairment due to rapid growth during childhood. Therefore, adequate management is required beginning in the acute stage. Our study aims to establish surgical guidelines for a primary full-thickness skin graft (FTSG) in pediatric hand burns, based on long-term observation periods and existing studies.

METHODS:

From January 2000 to May 2011, 210 patients underwent primary FTSG. We retrospectively studied the clinical course and treatment outcomes based on the patients' medical records. The patients' demographics, age, sex, injury site of the fingers, presence of web space involvement, the incidence of postoperative late deformities, and the duration of revision were critically analyzed.

RESULTS:

The mean age of the patients was 24.4 months (range, 8 to 94 months), consisting of 141 males and 69 females. The overall observation period was 6.9 years (range, 1 to 11 years) on average. At the time of the burn, 56 cases were to a single finger, 73 to two fingers, 45 to three fingers, and 22 to more than three. Among these cases, 70 were burns that included a web space (33.3%). During the observation, 25 cases underwent corrective operations with an average period of 40.6 months.

CONCLUSIONS:

In the volar area, primary full-thickness skin grafting can be a good indication for an isolated injured finger, excluding the web spaces, and injuries of less than three fingers including the web spaces. Also, in the dorsal area, full-thickness skin grafting can be a good indication. However, if the donor site is insufficient and the wound is large, split-thickness skin grafting can be considered.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Piel / Anomalías Congénitas / Donantes de Tejidos / Quemaduras / Deformidades de la Mano / Demografía / Registros Médicos / Incidencia / Estudios Retrospectivos / Trasplante de Piel Tipo de estudio: Guía de Práctica Clínica / Estudio de incidencia / Estudio observacional / Estudio pronóstico Límite: Child, preschool / Femenino / Humanos / Masculino Idioma: Inglés Revista: Archives of Plastic Surgery Año: 2012 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Piel / Anomalías Congénitas / Donantes de Tejidos / Quemaduras / Deformidades de la Mano / Demografía / Registros Médicos / Incidencia / Estudios Retrospectivos / Trasplante de Piel Tipo de estudio: Guía de Práctica Clínica / Estudio de incidencia / Estudio observacional / Estudio pronóstico Límite: Child, preschool / Femenino / Humanos / Masculino Idioma: Inglés Revista: Archives of Plastic Surgery Año: 2012 Tipo del documento: Artículo