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

Author:

Zhou Rong1,Qiu Lin1,Xiao Jun1,Mao Xiaobo1,Yuan Xingang1

Affiliation:

1. Department of Burns and Plastic Surgery, Children’s Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, China

Abstract

Abstract The incidence of pediatric treadmill hand friction burns has been increasing every year. The injuries are deeper than thermal hand burns, the optimal treatment remains unclear. This was a retrospective study of children who received surgery for treadmill hand friction burns from January 1, 2015, to December 31, 2019, in a single burn center. A total of 22 children were surveyed. The patients were naturally divided into two groups: the wound repair group (13 patients), which was admitted early to the hospital after injury and received debridement and vacuum sealing drainage initially, and a full-thickness skin graft later; and the scar repair group (nine patients), in which a scar contracture developed as a result of wound healing and received scar release and skin grafting later. The Modified Michigan Hand Questionnaire score in the wound repair group was 116.31 ± 10.55, and the corresponding score in the scar repair group was 117.56 ± 8.85 (p > .05), no statistically significant difference. The Vancouver Scar Scale score in the wound repair group was 4.15 ± 1.21, and the corresponding score in the scar repair group was 7.22 ± 1.09 (p < .05). Parents were satisfied with the postoperative appearance and function of the hand. None in the two groups required secondary surgery. If the burns are deep second degree, third degree, or infected, early debridement, vacuum sealing drainage initially, and a full-thickness skin graft can obviously relieve pediatric pain, shorten the course of the disease, and restore the function of the hand as soon as possible.

Publisher

Oxford University Press (OUP)

Subject

Rehabilitation,Emergency Medicine,Surgery

Cited by 5 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Burn Contracture in Children: Case Series and Literature Review;International Journal of Innovative Science and Research Technology (IJISRT);2024-06-21

2. From Admission to Discharge—A Total Friction Burn Review from a Single Institution;Journal of Burn Care & Research;2024-03-23

3. Prevention and Treatment of Burn Scar Contracture: A Practical Review;Plastic and Reconstructive Surgery - Global Open;2024-01

4. Update in Pediatric Burn Care;Current Trauma Reports;2023-04-14

5. Effects of early rehabilitation in improvement of paediatric burnt hands function;World Journal of Clinical Cases;2021-11-16

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