Early Wound Repair Versus Later Scar Repair in Children with Treadmill Hand Friction Burns

Zhou, Rong; Qiu, Lin; Xiao, Jun; Mao, Xiaobo; Yuan, Xingang

doi:10.1093/jbcr/irab083

Cited by 4 publications

(2 citation statements)

References 27 publications

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“…69–71 The timing of reconstructive surgery had mixed results in terms of affecting the rate of burn contracture. 72–75…”

Section: Resultsmentioning

confidence: 99%

“…[69][70][71] The timing of reconstructive surgery had mixed results in terms of affecting the rate of burn contracture. [72][73][74][75] Lasers were utilized in 17 studies with overall good results. (See table, Supplemental Digital Content 10, which displays a table summarizing articles which discussed preventative and reconstructive options using laser therapy for burn contractures, http://links.lww.…”

Section: Overview Of Techniquesmentioning

confidence: 99%

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Prevention and Treatment of Burn Scar Contracture: A Practical Review

Raborn,

Janis

2024

Plastic and Reconstructive Surgery - Global Open

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Summary: Burn contracture affects close to one-third of all burn patients, leading to significant functional impairment and costs. Effective prevention and treatment strategies are necessary to decrease morbidity and unnecessary costs. This scoping review aimed to summarize prevention and treatment strategies used for management of burn scar contractures published in the literature since 2000. A comprehensive PubMed review was performed in October 2022 to identify methods of burn contracture prevention and treatments. Non-English, duplicate, and unavailable articles were excluded. Data were extracted including publication year, techniques, and outcomes. A total of 327 publications met criteria for inclusion. Most articles were published in 2011 (n = 22). Treatment strategies were discussed in 82.9% of studies, prevention in 16.5%, and both in 0.6%. The most common areas discussed included the upper extremity (n = 127) and neck (n = 102). Flaps were the most frequently used method (n = 208), followed by autografts (n = 89). Most preventative therapies were still in early stages of development. Burn contracture management requires a highly individualized approach with many available reconstructive techniques available. Further research is needed to improve prevention techniques and decrease morbidity and cost to patients.

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“…69–71 The timing of reconstructive surgery had mixed results in terms of affecting the rate of burn contracture. 72–75…”

Section: Resultsmentioning

confidence: 99%

Section: Overview Of Techniquesmentioning

confidence: 99%

Prevention and Treatment of Burn Scar Contracture: A Practical Review

Raborn,

Janis

2024

Plastic and Reconstructive Surgery - Global Open

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Update in Pediatric Burn Care

et al. 2023

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Effects of early rehabilitation in improvement of paediatric burnt hands function

Zhou¹,

Zhou²,

Luo³

et al. 2021

WJCC

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BACKGROUND Hands are one of the most common burn sites in children. Hypertrophic scar contractures in hands after wound healing result in further reductions in their range of motion (ROM), motility, and fine motor activities. Rehabilitation can improve the function of hands. But the optimal time of rehabilitation intervention is still unclear. Therefore, this study was designed to investigate the effects of early rehabilitation management of paediatric burnt hands and to compare the efficacy between early and later rehabilitation intervention. AIM To investigate the effects of early rehabilitation management of paediatric burnt hands. METHODS A total of 52 children with burnt hands were allocated into the early intervention group (≤ 1 mo from onset) and a late intervention group (> 1 mo from onset) between January 2016 and December 2017. The children received the same rehabilitation programme including skin care, scar massage, passive ROM exercises, active ROM exercises, compression therapy, orthotic devices wearing and game or music therapy. Rehabilitation assessments were performed before and after the rehabilitation treatment. RESULTS In the early intervention group, the ROM of the hands was significantly improved after rehabilitation ( P = 0.001). But in the late group the effect was not significant statistically ( P = 0.142). In the early group, 38.5% of the patients showed significant improvement, while in the late group, 69.2% of the patients showed no significant improvement. The time from onset to posttraumatic rehabilitation ( P = 0.0007) and length of hospital stay ( P = 0.003) were negatively correlated with the hand function improvement. The length of rehabilitation stay was positively correlated with the hand function improvement ( P = 0.005). CONCLUSION These findings suggest that early rehabilitation might show better results in terms of ROM.

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Early Wound Repair Versus Later Scar Repair in Children with Treadmill Hand Friction Burns

Cited by 4 publications

References 27 publications

Prevention and Treatment of Burn Scar Contracture: A Practical Review

Prevention and Treatment of Burn Scar Contracture: A Practical Review

Update in Pediatric Burn Care

Effects of early rehabilitation in improvement of paediatric burnt hands function

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