Dermal regeneration template for deep hand burns: clinical utility for both early grafting and reconstructive surgery
Section snippets
Patients
Between February 1997 and July 2002, Integra dermal regeneration template was used to treat 22 patients for deep burn injuries of the hand. Patients were eligible for the study if they presented with either acute 3rd-degree deep burns of the hand requiring prompt surgical excision and grafting or hypertrophic scars, contractures or adherent grafts on the hand necessitating reconstructive procedures with full- or split-thickness grafts. Candidates for acute treatment were excluded if they were
Acute surgery patients
Eleven patients with acute 3rd-degree burns, (eight men and three women) were treated with Integra on a total of 15 hands. Fourteen grafts were to the dorsum and one to the palmar region. Patient characteristics, TBSA burned, number of hands grafted, and time from injury to surgery are presented in Table 3. The median age of the patients was 52 years (range 18–73 years), with a median TBSA of 40% (range 1–60). Excision and grafting were performed on day two or three after the burn injury,
Discussion
This series of 22 patients is the first to focus on the cosmetic and functional results with Integra dermal regeneration template for the surgical treatment of deep burns of the hands either at the acute injury stage (15 hands) or during reconstructive procedures (14 hands). Though preliminary, the study results are promising.
In the acute surgery patients, compared with movement regained after full thickness grafting, the surgical team judged the outcomes achieved with the Integra to be
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