Quantifying the Outcome of Glaberous Skin Grafts Applied on Palmer Surfaces of Hand and Fingers
Muhammad Nasrullah, Hooria Shumail, Shabihezahra, Waseem Humayoun, H Saeed Khan, Muhammad Amin, Barira Bashir
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ABSTRACT
Aim: To study outcome of
glaberous skin grafts in post burn palmer contractures of hand and fingers.
Study design: Quasi Experimental
Study.
Place & duration of study: Jinnah Burn and Reconstructive Surgery Centre Lahore from 1stJune
2015 to 31st May 2018.
Methods: Thirty five
patients of both genders having age 02-60years presenting with post burn palmer
contractures were included in study. Contracture was released and defect was
covered with glaberous skin grafts from planter surface.
Results: There were 18
(51.43%) patients having only palmer post burn contractures while 12 (34.29%)
patients had both palmer as well as fingers contractures, and 5 (14.29%)
patients had only finger contractures. Glabrous skin graft was taken with
dermatome at 22-28/1000 of an inch depending on requirement of wound. Dressing
was changed on 7 post operative day and patient was discharged and followed for
3 months. Out of 35 patients there was full graft take in 33 (94.29%) patients.
Functional outcome and Vancouver score was 45.14%excellent, Good in 35.71%,
satisfactory in 14.2%, and poor in 4.2%.
Conclusion: Glabrous skin graft
has good survival like full thickness skin graft but with better aesthetic
outcome.
Keywords: Glabrous, Palmar
surface, Plantar Surfaces, Outcome
ABSTRACT
Aim: To study outcome of
glaberous skin grafts in post burn palmer contractures of hand and fingers.
Study design: Quasi Experimental
Study.
Place & duration of study: Jinnah Burn and Reconstructive Surgery Centre Lahore from 1stJune
2015 to 31st May 2018.
Methods: Thirty five
patients of both genders having age 02-60years presenting with post burn palmer
contractures were included in study. Contracture was released and defect was
covered with glaberous skin grafts from planter surface.
Results: There were 18
(51.43%) patients having only palmer post burn contractures while 12 (34.29%)
patients had both palmer as well as fingers contractures, and 5 (14.29%)
patients had only finger contractures. Glabrous skin graft was taken with
dermatome at 22-28/1000 of an inch depending on requirement of wound. Dressing
was changed on 7 post operative day and patient was discharged and followed for
3 months. Out of 35 patients there was full graft take in 33 (94.29%) patients.
Functional outcome and Vancouver score was 45.14%excellent, Good in 35.71%,
satisfactory in 14.2%, and poor in 4.2%.
Conclusion: Glabrous skin graft
has good survival like full thickness skin graft but with better aesthetic
outcome.
Keywords: Glabrous, Palmar
surface, Plantar Surfaces, Outcome