Cargando…

Mobilisation versus Bed Rest after Skin Grafting Pretibial Lacerations: A Meta-Analysis

Pretibial lacerations are problematic and best managed by surgical debridement, then skin grafting. Traditional postoperative care involves bed rest to optimise graft survival. This meta-analysis assesses early mobilisation versus bed rest for skin graft healing of these wounds. Medline, Embase, Coc...

Descripción completa

Detalles Bibliográficos
Autores principales: Southwell-Keely, James, Vandervord, John
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3335719/
https://www.ncbi.nlm.nih.gov/pubmed/22567252
http://dx.doi.org/10.1155/2012/207452
_version_ 1782230846483202048
author Southwell-Keely, James
Vandervord, John
author_facet Southwell-Keely, James
Vandervord, John
author_sort Southwell-Keely, James
collection PubMed
description Pretibial lacerations are problematic and best managed by surgical debridement, then skin grafting. Traditional postoperative care involves bed rest to optimise graft survival. This meta-analysis assesses early mobilisation versus bed rest for skin graft healing of these wounds. Medline, Embase, Cochrane, Cinahl, and Google Scholar databases were searched. Analyses were performed on appropriate clinical trials. Four trials met with the inclusion criteria. No difference was demonstrated in split skin graft healing between patients mobilised early compared to patients admitted to hospital for postoperative bed rest at either 7 (OR 0.86 CI 0.29–2.56) or 14 days (OR 0.74 CI 0.31–1.79). There was a statistically significant delay in healing in patients treated with systemic corticosteroids (OR 8.20 CI 0.99–15.41). There was no difference in postoperative haematoma, bleeding, graft infection, or donor site healing between the comparison groups. In the available literature, there is no difference between early mobilisation and bed rest for the healing of skin grafts to pretibial wounds. Corticosteroids exert a negative effect on skin graft healing unlike early mobilisation, which does not cause increased haematoma, bleeding, infection, or delayed donor site healing. Modality of anaesthesia does not affect skin graft healing.
format Online
Article
Text
id pubmed-3335719
institution National Center for Biotechnology Information
language English
publishDate 2012
publisher Hindawi Publishing Corporation
record_format MEDLINE/PubMed
spelling pubmed-33357192012-05-07 Mobilisation versus Bed Rest after Skin Grafting Pretibial Lacerations: A Meta-Analysis Southwell-Keely, James Vandervord, John Plast Surg Int Review Article Pretibial lacerations are problematic and best managed by surgical debridement, then skin grafting. Traditional postoperative care involves bed rest to optimise graft survival. This meta-analysis assesses early mobilisation versus bed rest for skin graft healing of these wounds. Medline, Embase, Cochrane, Cinahl, and Google Scholar databases were searched. Analyses were performed on appropriate clinical trials. Four trials met with the inclusion criteria. No difference was demonstrated in split skin graft healing between patients mobilised early compared to patients admitted to hospital for postoperative bed rest at either 7 (OR 0.86 CI 0.29–2.56) or 14 days (OR 0.74 CI 0.31–1.79). There was a statistically significant delay in healing in patients treated with systemic corticosteroids (OR 8.20 CI 0.99–15.41). There was no difference in postoperative haematoma, bleeding, graft infection, or donor site healing between the comparison groups. In the available literature, there is no difference between early mobilisation and bed rest for the healing of skin grafts to pretibial wounds. Corticosteroids exert a negative effect on skin graft healing unlike early mobilisation, which does not cause increased haematoma, bleeding, infection, or delayed donor site healing. Modality of anaesthesia does not affect skin graft healing. Hindawi Publishing Corporation 2012 2012-03-07 /pmc/articles/PMC3335719/ /pubmed/22567252 http://dx.doi.org/10.1155/2012/207452 Text en Copyright © 2012 J. Southwell-Keely and J. Vandervord. https://creativecommons.org/licenses/by/3.0/ This is an open access article 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 Review Article
Southwell-Keely, James
Vandervord, John
Mobilisation versus Bed Rest after Skin Grafting Pretibial Lacerations: A Meta-Analysis
title Mobilisation versus Bed Rest after Skin Grafting Pretibial Lacerations: A Meta-Analysis
title_full Mobilisation versus Bed Rest after Skin Grafting Pretibial Lacerations: A Meta-Analysis
title_fullStr Mobilisation versus Bed Rest after Skin Grafting Pretibial Lacerations: A Meta-Analysis
title_full_unstemmed Mobilisation versus Bed Rest after Skin Grafting Pretibial Lacerations: A Meta-Analysis
title_short Mobilisation versus Bed Rest after Skin Grafting Pretibial Lacerations: A Meta-Analysis
title_sort mobilisation versus bed rest after skin grafting pretibial lacerations: a meta-analysis
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3335719/
https://www.ncbi.nlm.nih.gov/pubmed/22567252
http://dx.doi.org/10.1155/2012/207452
work_keys_str_mv AT southwellkeelyjames mobilisationversusbedrestafterskingraftingpretibiallacerationsametaanalysis
AT vandervordjohn mobilisationversusbedrestafterskingraftingpretibiallacerationsametaanalysis