[Long-term result of repair of deeply burned hands with large sheet of split-thickness autoskin grafting with the preservation of denatured dermis].
OBJECTIVE
To evaluate the long-term results of repair of burn hands with large sheet of split-thickness autoskin grafting with the preservation of denatured dermis.


METHODS
One hundred and fifty-two hands in 86 burn patients with deep partial thickness and full thickness burn were enrolled in the study. The burned hands were treated by tangential excision and grafted with large sheet of split-thickness autoskin with the preservation of denatured dermis. The patients were followed-up from 3 months to 3 years. The skin color, elasticity, degree of contracture and the functional grading of the operated hands were observed.


RESULTS
Good function was found in one hundred and forty-one out of the 152 burn hands (92.8%). For the rest 11 hands, pigmentation was found in 4, poor appearance in 4, and 3 hands with both poor appearance and function.


CONCLUSIONS
Large sheet of split-thickness autoskin grafting with the preservation of denatured dermis could be an optimal choice for the management of hands with deep partial thickness burn, and it could restore the appearance and function of the hands satisfactorily.
Yang
Xing-Hua
XH
Department of Burns and Plastic Surgery, Xiangya Hospital, Central South University, Changsha 410008, P.R. China.
Huang
Xiao-Yuan
XY
Lei
Shao-Rong
SR
Zhang
Pi-Hong
PH
Zhang
Ming-Hua
MH
Xiao
Mu-Zhang
MZ
Zeng
Ji-Zhang
JZ
Long
Jian-Hong
JH
D000293:Adolescent; D000328:Adult; D002056:Burns / Q000601:surgery*; D002648:Child; D020405:Dermis / Q000601:surgery / Q000637:transplantation; D005260:Female; D005500:Follow-Up Studies; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps; D014945:Wound Healing