Cargando…

Acute Deep Hand Burns Covered by a Pocket Flap-Graft: Long-term Outcome Based on Nine Cases

Objective: We evaluated the long-term outcome of the “pocket flap-graft” technique, used to cover acute deep burns of the dorsum of the hand, and analyzed surgical alternatives. Methods: This was a 6-year, retrospective study of 8 patients with extensive burns and 1 patient with a single burn (11 ha...

Descripción completa

Detalles Bibliográficos
Autores principales: Pradier, Jean-Philippe, Oberlin, Christophe, Bey, Eric
Formato: Texto
Lenguaje:English
Publicado: Open Science Company, LLC 2007
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1781957/
https://www.ncbi.nlm.nih.gov/pubmed/17268577
_version_ 1782132004862558208
author Pradier, Jean-Philippe
Oberlin, Christophe
Bey, Eric
author_facet Pradier, Jean-Philippe
Oberlin, Christophe
Bey, Eric
author_sort Pradier, Jean-Philippe
collection PubMed
description Objective: We evaluated the long-term outcome of the “pocket flap-graft” technique, used to cover acute deep burns of the dorsum of the hand, and analyzed surgical alternatives. Methods: This was a 6-year, retrospective study of 8 patients with extensive burns and 1 patient with a single burn (11 hands in all) treated by defatted abdominal wall pockets. We studied the medical records of the patients, and conducted a follow-up examination. Results: All hands had fourth-degree thermal burns caused by flames, with exposure of tendons, bones, and joints, and poor functional prognosis. One third of patients had multiple injuries. Burns affected an average of 36% of the hand surface, and mean coverage was 92.8 cm(2). One patient died. The 8 others were seen at 30-month follow-up: the skin quality of the flap was found to be good in 55% of the cases, the score on the Vancouver Scar Scale was 2.4, the Kapandji score was 4.5, and total active motion was 37% of that of a normal hand. Hand function was limited in only 2 cases, 8 patients were able to drive, and 3 patients had gone back to work. Conclusion: The pocket flap-graft allows preservation of hand function following severe burns, when local or free flaps are impossible to perform. Debulking of the flap at the time of elevation limits the need for secondary procedures.
format Text
id pubmed-1781957
institution National Center for Biotechnology Information
language English
publishDate 2007
publisher Open Science Company, LLC
record_format MEDLINE/PubMed
spelling pubmed-17819572007-02-01 Acute Deep Hand Burns Covered by a Pocket Flap-Graft: Long-term Outcome Based on Nine Cases Pradier, Jean-Philippe Oberlin, Christophe Bey, Eric J Burns Wounds Article Objective: We evaluated the long-term outcome of the “pocket flap-graft” technique, used to cover acute deep burns of the dorsum of the hand, and analyzed surgical alternatives. Methods: This was a 6-year, retrospective study of 8 patients with extensive burns and 1 patient with a single burn (11 hands in all) treated by defatted abdominal wall pockets. We studied the medical records of the patients, and conducted a follow-up examination. Results: All hands had fourth-degree thermal burns caused by flames, with exposure of tendons, bones, and joints, and poor functional prognosis. One third of patients had multiple injuries. Burns affected an average of 36% of the hand surface, and mean coverage was 92.8 cm(2). One patient died. The 8 others were seen at 30-month follow-up: the skin quality of the flap was found to be good in 55% of the cases, the score on the Vancouver Scar Scale was 2.4, the Kapandji score was 4.5, and total active motion was 37% of that of a normal hand. Hand function was limited in only 2 cases, 8 patients were able to drive, and 3 patients had gone back to work. Conclusion: The pocket flap-graft allows preservation of hand function following severe burns, when local or free flaps are impossible to perform. Debulking of the flap at the time of elevation limits the need for secondary procedures. Open Science Company, LLC 2007-01-16 /pmc/articles/PMC1781957/ /pubmed/17268577 Text en Copyright © 2007 The Author(s) http://creativecommons.org/licenses/by/2.0/ This is an open-access article whereby the authors retain copyright of the work. The article is distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Article
Pradier, Jean-Philippe
Oberlin, Christophe
Bey, Eric
Acute Deep Hand Burns Covered by a Pocket Flap-Graft: Long-term Outcome Based on Nine Cases
title Acute Deep Hand Burns Covered by a Pocket Flap-Graft: Long-term Outcome Based on Nine Cases
title_full Acute Deep Hand Burns Covered by a Pocket Flap-Graft: Long-term Outcome Based on Nine Cases
title_fullStr Acute Deep Hand Burns Covered by a Pocket Flap-Graft: Long-term Outcome Based on Nine Cases
title_full_unstemmed Acute Deep Hand Burns Covered by a Pocket Flap-Graft: Long-term Outcome Based on Nine Cases
title_short Acute Deep Hand Burns Covered by a Pocket Flap-Graft: Long-term Outcome Based on Nine Cases
title_sort acute deep hand burns covered by a pocket flap-graft: long-term outcome based on nine cases
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1781957/
https://www.ncbi.nlm.nih.gov/pubmed/17268577
work_keys_str_mv AT pradierjeanphilippe acutedeephandburnscoveredbyapocketflapgraftlongtermoutcomebasedonninecases
AT oberlinchristophe acutedeephandburnscoveredbyapocketflapgraftlongtermoutcomebasedonninecases
AT beyeric acutedeephandburnscoveredbyapocketflapgraftlongtermoutcomebasedonninecases