title: Functional results of burned hands treated with Integra®.
abstract: BACKGROUND
  Dermal substitutes, such as Integra(®) introduced as a new alternative to our surgical arsenal and its use in burn treatment, in both acute and chronic phases, have gained great importance.
  
  
  OBJECTIVE
  The aim of the experiment is to describe the results of the functional evaluation of patients with burned hands treated with Integra(®) in both acute and chronic phases.
  
  
  METHODS
  A retrospective review of a transversal cohort. Patient characteristics evaluated were sociodemographic characteristics, burn mechanism, burn extension and depth, treatments received previous to Integra(®) and complications related to its use. Clinical and photographic evaluations were performed evaluating skin elasticity, range of articular movement, prehensile strength, pain and functional evaluation using the validated 400 Point Evaluation Test.
  
  
  RESULTS
  A total of 17 burned hands in 14 right-handed patients, were treated with Integra(®), three being bilateral hand burns. Eleven were treated in the acute phase and in nine in the scar reconstruction phase. Range of articular motion was complete in 15 of 17 hands. In 88% of the hands, flexible skin coverage was achieved. No statistically significant difference was observed in prehension strength of the burned hand versus the contralateral non-burned hand. Sixteen hands had a painless evolution. The 400 Point Evaluation score was 92.8 ± 6.3% (80 - 100%). Nearly four-fifths (79%) of the patients returned to normal active working activities.
authors: Plastic Surgery and Burn Unit, Hospital del Trabajador de Santiago, Chile. acuadra@hts.cl
authors: Alvaro
authors: A
authors: Cuadra
authors: Gerardo
authors: G
authors: Correa
authors: Ricardo
authors: R
authors: Roa
authors: Jose Luis
authors: JL
authors: Piñeros
authors: Hernán
authors: H
authors: Norambuena
authors: Susana
authors: S
authors: Searle
authors: Rocío
authors: R
authors: Las Heras
authors: Wilfredo
authors: W
authors: Calderón
mesh_terms: D000328:Adult; D000368:Aged; D002056:Burns / Q000503:physiopathology / Q000601:surgery*; D002809:Chondroitin Sulfates; D003094:Collagen; D005260:Female; D005500:Follow-Up Studies; D006225:Hand / Q000502:physiology*; D006230:Hand Injuries / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D020127:Recovery of Function; D012189:Retrospective Studies; D017768:Skin, Artificial; D016896:Treatment Outcome; D014945:Wound Healing; D055815:Young Adult
chemical_list: C114835:integra artificial skin; D002809:Chondroitin Sulfates; D003094:Collagen