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Active range of motion outcomes after reconstruction of burned wrist and hand deformities.

Afifi, Ahmed M and Mahboub, Tarek A and Ibrahim Fouad, Amr and Azari, Kodi and Khalil, Haitham H and McCarthy, James E (2016) Active range of motion outcomes after reconstruction of burned wrist and hand deformities. Burns : journal of the International Society for Burn Injuries, 42 (4). pp. 783-9. ISSN 1879-1409. This article is available to all HEFT staff and students via ASK HEFT Discovery tool www.heftlibrary.nhs.uk using their HEFT Athens Login

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Official URL: http://www.burnsjournal.com/article/S0305-4179(16)...

Abstract

This works aim is to evaluate the efficacy of skin grafts and flaps in reconstruction of post-burn hand and wrist deformities. A prospective study of 57 burn contractures of the wrist and dorsum of the hand was performed. Flaps were used only if there was a non-vascularized structure after contracture release, otherwise a skin graft was used. Active range of motion (ROM) was used to assess hand function. The extension deformity cohort uniformly underwent skin graft following contracture release with a mean improvement of 71 degrees (p<0.0001). The flexion deformity cohort was treated with either skin grafts (8 patients) or flaps (9 patients) with a mean improvement of 44 degrees (p<0.0001). Skin grafts suffice for dorsal hand contractures to restore functional wrist ROM. For flexion contractures, flaps were more likely for contractures >6 months. Early release of burn contracture is advisable to avoid deep structure contracture.

Item Type: Article
Additional Information: This article is available to all HEFT staff and students via ASK HEFT Discovery tool www.heftlibrary.nhs.uk using their HEFT Athens Login
Subjects: WO Surgery
Divisions: Planned IP Care > General Surgery
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Depositing User: Preeti Puligari
Date Deposited: 12 Jan 2017 15:10
Last Modified: 12 Jan 2017 15:10
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/1105

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