Surgical Management of Post Burn Hand Deformities.

Suneel Kumar,Faisal Akhlaq,Saba Kiran,Hyder Ali

doi:10.12669/pjms.36.6.2206

Suneel Kumar, Faisal Akhlaq + Show 2 more

Open Access

https://doi.org/10.12669/pjms.36.6.2206

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Abstract

Objective:To evaluate the efficacy of different surgical procedures on post burn contracture of hand.Methods:A quasi-experimental study design was conducted at the Department of Plastics and Reconstructive Surgery, Dow University of Health Science, DR. Ruth KM Pfau, Civil Hospital, Karachi, Pakistan from 1st June 2019 to 30th November 2019. Ninety-three participants of burned hand contracture of either gender, aged between 6- 60 years were included in the study. Resurfacing surgery with skin graft and loco-regional flaps were done according to type of contracture with individualization for each patient. All patients were kept under follow up for ninety days to assess efficacy of contracture release for each surgical procedure was noted. SPSS version 23 was used to analyse data.Results:Full thickness skin graft (FTSG) was performed in 60.2% cases, 17.2% with split thickness skin graft (STSG) and 12.9% with cross finger flaps. About 25% of recurrence was observed in cross finger flaps, whereas no recurrence was seen in Z-plasties and posterior interosseous flap. The significant association was between recurrence and surgical procedures (p<0.05).Conclusion:Z-plasty followed by FTSG was effective in the management of post burn contractures of hand.

Highlights

Burn injury is the 2nd leading cause of trauma-related mortalities.[1]
Despite of k-wire fixation and external application of back slab the recurrence was seen in 37.5% cases those who had split thickness skin graft (STSG), 25% cases who had cross finger flaps and 16.1% cases who had Full thickness skin graft (FTSG), whereas no recurrence was seen in Z-plasties flap
This study would add the data in medical institute which would be supportive for plastic surgeons in choosing the better treatment plan

Summary

Introduction

Burn injury is the 2nd leading cause of trauma-related mortalities.[1]. In South-East Asia, about 40% of all death is induced by burns.[1]. Literature showed that approximately 39% of burn injuries occurred in upper extremity and hands.[4]

Methods

Results

Conclusion