Comparison of the Result of Early and Delayed Skin Grafting in Deep Burns of the Hand

International Journal of Medical Science

© 2024 by SSRG - IJMS Journal

Volume 11 Issue 3

Year of Publication : 2024

Authors : Ali Jahjah, Firas Melhem, Jamal Khaddam

10.14445/23939117/IJMS-V11I3P102

How to Cite?

Ali Jahjah, Firas Melhem, Jamal Khaddam, "Comparison of the Result of Early and Delayed Skin Grafting in Deep Burns of the Hand," SSRG International Journal of Medical Science, vol. 11,  no. 3, pp. 5-10, 2024. Crossref, https://doi.org/10.14445/23939117/IJMS-V11I3P102

Abstract:

Deep hand burns are a common cause of injury leading to long-term morbidity and decreased quality of life. The ideal timing for performing skin grafting is still debated, with no method proving superiority over others. Objective: The aim of this study was to evaluate the final outcome of patients undergoing excision and early or late skin grafting. Materials and Methods: This prospective comparative analytical study was conducted over a one-year period (2022-2023) at Tishreen University Hospital, Latakia, Syria. The study included a group of patients with deep hand burn defects undergoing reconstruction using skin grafting. Patients were classified into two groups, each consisting of 25 patients: early skin grafting and late skin grafting, with complications compared between the study groups. Results: The study included 50 cases, with a male-to-female ratio of 66% and 34%, respectively, and a mean age of 32.11±9.2 years. The majority of patients had seconddegree burns (74%), with the most frequent site being the palm of the hand (42%) and hot liquids and flames being the main causative factors for burns. There were no significant differences between the study groups in terms of demographic variables and basic clinical characteristics. The recovery time was significantly longer in the late skin grafting group (26.5±4.8 days vs. 9.2±2.8 days with p:0.0001). There were no significant differences between the study groups in terms of temperature sensation (p:1), vibration (p:1), two-point discrimination (p:0.5), functional movement assessment (p>0.05), and resulting complications, including contracture (p:0.05), scarring (p:0.8), and infection (p:0.1). Conclusion: The current study showed that patients treated with early skin grafting had a shorter recovery time advantage, but there were no significant differences between the two groups in terms of complications and functional assessment.

Keywords:

Deep burns, Hand, Skin grafting, Early, Late, Complications.

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