title: A comparison of full-thickness versus split-thickness autografts for the coverage of deep palm burns in the very young pediatric patient.
abstract: From 1984 through 1989, 24 patients with 30 acute palmar burns (six were bilateral) that required skin grafting were evaluated to compare the efficacy of split-thickness versus full-thickness autografting. Sixteen of the palms had split-thickness skin grafts and 14 had full-thickness skin grafts. Normal range of motion was found in 8 of 14 palms that were treated with full-thickness skin grafts and in 4 of 16 for those that were treated with split-thickness skin grafts. Significantly fewer reconstructive surgical procedures were required in the palm burns that were treated with full-thickness skin grafts (full-thickness = 3 of 14 and split-thickness = 10 of 16). The results demonstrate improved function and decreased need for reconstructive procedures when full-thickness skin grafts are used for the treatment of deep palm burns in young pediatric patients.
authors.affiliation: Shriners Burns Institute, Cincinnati, OH 45219.
authors.forename: C
authors.initials: C
authors.lastname: Schwanholt
authors.forename: D G
authors.initials: DG
authors.lastname: Greenhalgh
authors.forename: G D
authors.initials: GD
authors.lastname: Warden
mesh_terms: D000208:Acute Disease; D002056:Burns / Q000503:physiopathology / Q000601:surgery*; D002675:Child, Preschool; D005069:Evaluation Studies as Topic; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D007223:Infant; D016059:Range of Motion, Articular; D016038:Skin Transplantation / Q000379:methods*; D014182:Transplantation, Autologous; D014945:Wound Healing