Academic Journal
787 A 13-year Experience with a 3-stage Dermal Regeneration Matrix Approach to Acute Hand Burns
| العنوان: | 787 A 13-year Experience with a 3-stage Dermal Regeneration Matrix Approach to Acute Hand Burns |
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| المؤلفون: | Arellano, Jose Antonio, Jeong, Tiffany, Alessandri-Bonetti, Mario, Liu, Hilary, Pandya, Sumaarg, Stofman, Guy M, Egro, Francesco |
| المصدر: | Journal of Burn Care & Research ; volume 45, issue Supplement_1, page 252-252 ; ISSN 1559-047X 1559-0488 |
| بيانات النشر: | Oxford University Press (OUP) |
| سنة النشر: | 2024 |
| الوصف: | Introduction Dermal regeneration matrix (DRM) has been demonstrated to be safe and beneficial in improving functional outcomes for the management of acute hand burns. DRM followed by split thickness skin graft (STSG) allows for a two-stage reconstruction for most operative hand burn injuries. Our site routinely implements a 3-staged approach with cadaver allograft at the first stage. The aim of this study is to compare the surgical and functional outcomes of 2-staged DRM reconstruction and 3-staged reconstruction. Methods A retrospective study was conducted to review surgical and functional outcomes of patients treated for hand burns. All patients seen from April 2009 and December 2022 with hand burns, for whom objective hand measurements were available, were considered for the study. Results From 2009 to 2023, 227 patients were treated for hand burns. Of them, 44 patients had objective hand measurements and were included in the study. Patient (77.3% males,22.7% females) mean age was 39.3±16.1 and the mean BMI was 27.1±6.4. Patients suffered from 1.3±1.4 comorbidities. Patients were followed for 22.0±25.0 months. Most burns were full thickness (97.7%, n=43) and involved 15.3±16.7% TBSA. Patients suffered thermal injuries (93.2%, n=41) and electrical burns (6.8%, n=3). Many patients had bilateral hand involvement (52.3%, n=23). Most cases (n=27) received a 3-staged approach with cadaver allograft at first stage, dermal regeneration matrix (DRM) at second stage, and split thickness skin graft (STSG) for final reconstruction. Fewer cases received a 2-staged approach with DRM and STSG (n=10). No 3-staged cases required repeat STSG, while 40% of 2-staged cases required repeat STSG. Repeat STSG in acute management was significantly associated with patients who received the 2-staged (p < 0.01). There was no significant difference in mean baseline DASH scores for patients who received cadaveric allograft during acute management (46.5±22.3%) when compared to those who did not (48.7±22.5%) (p=0.8033). ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1093/jbcr/irae036.328 |
| الاتاحة: | http://dx.doi.org/10.1093/jbcr/irae036.328 https://academic.oup.com/jbcr/article-pdf/45/Supplement_1/252/57260431/irae036.328.pdf |
| Rights: | https://creativecommons.org/licenses/by/4.0/ |
| رقم الانضمام: | edsbas.E3B1EC27 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1093/jbcr/irae036.328 |
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