Study on Surgical Management of Post Burn Hand Deformities

Lipofilling as an Adjuvant Therapy for Postburn Grafted Hand: Functional and Aesthetic Outcome.

“…There was mild improvement in itching and pain. (P-Value <0.001 for all) Figure (3). Statistical significant developments were found in the total patient POAS score.…”

“…These are considered as the first line of option and even in integration with an operation involving tissue extension, sequential skin eradication, skin grafting, and Z-plasties. 3 Lipofilling has been utilized in multiple conditions such as reconstruction/augmentation and correction of hemifacial microsomia asymmetries. The usage of lipofilling in hand expands to diminish hypertrophic scars after traumatic injuries, in addition to skin regeneration as a cosmetic treatment.…”

Use of autologous fat grafting for the correction of burn scar contracture in the hand: a case report

“…In cases of a contracting scar with an obvious scar band and impairment of function, Z-plasty, or multiple Z-plasties in a large scar, may be a simple and effective technique for contracture resolution by lengthening the scar and redistributing the tension in the scar. Z-plasty and locoregional flaps provide better recovery and a lower contracture recurrence rate compared to skin grafting, whereas split-thickness skin grafting is preferred for covering large burn areas due to its availability [ 6–9 ]. However, none of the abovementioned treatments appear effective in terms of achieving good skin regeneration [ 2 , 7 , 10 ].…”

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“…There are various methods of surgical release of palmer and finger contractures. Methods include multiple z-plasty, release followed by and split thickness skin grafting, full thickness skin grafting, local flaps, regional flaps, island flaps and free flaps [5]. Debate that which skin graft yields better results in terms of functionality of hand and fingers and better aesthetics, still continues.…”