DOI: http://dx.doi.org/10.18203/2349-2902.isj20214085

Study of soft tissue reconstruction in postburn flexion contracture of the hand

Nagaraj Gareikpatii

Abstract


Background: Burn contracture of the hand can leave patients with severe functional and psychological limitations. This study evaluates the severity of the deformity and various reconstructive options in post-burn hand injuries.

Methods: This work includes the study of 50 patients who underwent reconstruction for post-burn flexion contracture of the hand, including fingers, in the department of plastic surgery. The patients were treated between April 2007 to April 2009.

Results: Males were more commonly affected by burn injuries and thermal burns were more common than electrical burns. The little finger showed higher involvement and contracture release followed by grafting was the commonly done reconstructive procedure.

Conclusions: Split thickness skin graft (SSG) were more effective in reconstruction in thermal injuries, while cross finger flaps (CFF) showed more promise in electrical injuries of the hand.

 


Keywords


Hand, Burn, Contractures, SSG, CFFs

Full Text:

PDF

References


Hariharan N, Sridhar R, Sankari B, Valarmathy V, Asirvatham E, Geetha K. Reconstruction of postburn crippled hands: A study of functional outcome. Indian J Burns. 2018;26(1):9.

Toussaint J, Singer A. The evaluation and management of thermal injuries: 2014 update. Clin Exp Emergency Med. 2014;1(1):8-18.

Iwuagwu F, Wilson D, Bailie F. The Use of Skin Grafts in Postburn Contracture Release: A 10-Year Review. Plastic Reconstructive Surg. 1999;103(4):1198-204.

Wainwright D. Burn Reconstruction: the Problems, the Techniques, and the Applications. Clin Plastic Surg. 2009;36(4):687-700.

Sheridan R, Hurley J, Smith M. The acutely burned hand: Management and outcome based on a ten-year experience with 1047 acute hand burns. Int J Trauma Nursing. 1995;1(3):85-6.

Moore M, Dewey W, Richard R. Rehabilitation of the Burned Hand. Hand Clin. 2009;25(4):529-41.

Sabapathy S, Bajantri B, Bharathi R. Management of post burn hand deformities. Indian J Plastic Surg. 2010;43(3):72.

Sunil NP, Ahmed F, Jash PK, Gupta M, Suba S. Study on surgical management of post burn hand deformities. J clin diagnostic res. 2015;9(8):PC06.

Stern PJ, Yakuboff KP. Burn contractures. In: Chapman MW, editor. Chapman's Orthopaedic Surgery 3rd ed. Philadelphia, PA: Lippincott Williams and Wilkins. 2001;1763-80.

Cederlund RI, Ramel E, Rosberg HE. Outcome and clinical changes in patients 3, 6, 12 months after a severe or major hand injury—can sense of coherence be an indicator for rehabilitation focus? BMC Musculoskelet Disord. 2010;11:286.

Engrav LH, Dutcher KA, Nakamura DY. Rating burn impairment. Clin Plast Surg. 1992;19:569-98.

Lakshmi Bai S, Gunasekaran R. Post burn flexion contracture of hand: a prospective study. Int Surg J. 2019;6(8):2823.

Baryza MJ, Hinson M, Conway J, Ryan CM. Five Year Experience with Burns from Glass Fireplace Doors in the Pediatric Population. J Burn Care Res. 2013;34(6):607-11.

Scott JR, Costa BA, Gibran NS, Engrav LH, Heimbach DH, Klein MB. Pediatric palm contact burns: a ten-year review. J Burn Care Res. 2008;29(4):614-8.

Kucan JO, Bash D. Reconstruction of the burned foot. Clin Plast Surg. 1992;19:705-19.

Feng J, Yong C, Bin Kasmin M, Tan K, Tan B, Chong S. A preliminary report: The new protocol of managing acute partial-thickness hand burns. Proceedings Singapore Healthcare. 2016;25(3):176-80.

Karthikeyan G, Renganathan G, Subashini R. Versatility and Modifications of the Cross-finger Flap in Hand Reconstruction. Int J Sci Stud. 2017;5(6):35-46.

Sunil NP, Ahmed F, Jash PK, Gupta M, Suba S. Study on surgical management of post burn hand deformities. J clin diagnostic res. 2015;9(8):PC06.