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Effects of early versus delayed excision and grafting on the return of the burned hand function
BACKGROUND: Despite a general consensus regarding the impacts of early excision and grafting (EE and G) of burned hand on the reducing of treatment cost and hospital stay, there are some controversial issues about its effect on the outcome of hand function. This study conducted to compare the result...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5322686/ https://www.ncbi.nlm.nih.gov/pubmed/28250786 http://dx.doi.org/10.4103/1735-1995.193501 |
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author | Salehi, Seyed Hamid Fatemi, Mohammad Javad Sedghi, Maryam Niazi, Mitra |
author_facet | Salehi, Seyed Hamid Fatemi, Mohammad Javad Sedghi, Maryam Niazi, Mitra |
author_sort | Salehi, Seyed Hamid |
collection | PubMed |
description | BACKGROUND: Despite a general consensus regarding the impacts of early excision and grafting (EE and G) of burned hand on the reducing of treatment cost and hospital stay, there are some controversial issues about its effect on the outcome of hand function. This study conducted to compare the results of the EE and G and delayed skin grafting in deep hand burns regarding the hand functional outcome. MATERIALS AND METHODS: This study was conducted from April 2012 to November 2013 in sixty patients with deep thermal burns of the dorsal hand with total body surface area (TBSA) <20% who were admitted to special burn hospital. After standard primary burn care and resuscitation, necessary procedures (EE and G or more conservative treatment) were performed based on the patients’ conditions. The patients were placed into early excision (No. =30) and delayed excision group (No. =30). Total active motion (TAM) of fingers, grip strength of the hand and the assessment of disabilities of the arm, shoulder and hand questionnaire, were measured in all patients 6 months after grafting. RESULTS: The average percentage of TBSA in the EE and G group was more than the delayed excision group (17.34% ±5.12% vs. 15.64% ±5.83%), this difference was not significant (P = 0.23). After 6 months, the average of the TAM and grip strength in the EE and G group was significantly more than that of the delayed group (P < 0.0001 and P = 0.019). CONCLUSION: The present study showed that EE and G with proper physical therapy and rehabilitation management provides a higher functional outcome in dorsal deep burned hand. |
format | Online Article Text |
id | pubmed-5322686 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-53226862017-03-01 Effects of early versus delayed excision and grafting on the return of the burned hand function Salehi, Seyed Hamid Fatemi, Mohammad Javad Sedghi, Maryam Niazi, Mitra J Res Med Sci Original Article BACKGROUND: Despite a general consensus regarding the impacts of early excision and grafting (EE and G) of burned hand on the reducing of treatment cost and hospital stay, there are some controversial issues about its effect on the outcome of hand function. This study conducted to compare the results of the EE and G and delayed skin grafting in deep hand burns regarding the hand functional outcome. MATERIALS AND METHODS: This study was conducted from April 2012 to November 2013 in sixty patients with deep thermal burns of the dorsal hand with total body surface area (TBSA) <20% who were admitted to special burn hospital. After standard primary burn care and resuscitation, necessary procedures (EE and G or more conservative treatment) were performed based on the patients’ conditions. The patients were placed into early excision (No. =30) and delayed excision group (No. =30). Total active motion (TAM) of fingers, grip strength of the hand and the assessment of disabilities of the arm, shoulder and hand questionnaire, were measured in all patients 6 months after grafting. RESULTS: The average percentage of TBSA in the EE and G group was more than the delayed excision group (17.34% ±5.12% vs. 15.64% ±5.83%), this difference was not significant (P = 0.23). After 6 months, the average of the TAM and grip strength in the EE and G group was significantly more than that of the delayed group (P < 0.0001 and P = 0.019). CONCLUSION: The present study showed that EE and G with proper physical therapy and rehabilitation management provides a higher functional outcome in dorsal deep burned hand. Medknow Publications & Media Pvt Ltd 2016-11-07 /pmc/articles/PMC5322686/ /pubmed/28250786 http://dx.doi.org/10.4103/1735-1995.193501 Text en Copyright: © 2016 Journal of Research in Medical Sciences http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Salehi, Seyed Hamid Fatemi, Mohammad Javad Sedghi, Maryam Niazi, Mitra Effects of early versus delayed excision and grafting on the return of the burned hand function |
title | Effects of early versus delayed excision and grafting on the return of the burned hand function |
title_full | Effects of early versus delayed excision and grafting on the return of the burned hand function |
title_fullStr | Effects of early versus delayed excision and grafting on the return of the burned hand function |
title_full_unstemmed | Effects of early versus delayed excision and grafting on the return of the burned hand function |
title_short | Effects of early versus delayed excision and grafting on the return of the burned hand function |
title_sort | effects of early versus delayed excision and grafting on the return of the burned hand function |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5322686/ https://www.ncbi.nlm.nih.gov/pubmed/28250786 http://dx.doi.org/10.4103/1735-1995.193501 |
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