title: Early debridement and delayed primary vascularized cover in forearm electrical burns: A prospective study.
abstract: OBJECTIVE
  To look into the management options of early debridement of the wound, followed by vascularized cover to bring in fresh blood supply to remaining tissue in electrical burns.
  
  
  METHODS
  A total of 16 consecutive patients sustaining full thickness forearm burns over a period of one year were included in the study group. Debridement was undertaken within 48 h in 13 patients. Three patients were taken for debridement after 48 h. Debridement was repeated within 2-4 d after daily wound assessment and need for further debridement.
  
  
  RESULTS
  On an average two debridements (range 1-4) was required in our patients for the wound to be ready for definitive cover. Interval between each debridement ranged from 2-18 d. Fourteen patients were provided vascularized cover after final debridement (6 free flaps, 8 pedicled flaps). Functional assessment of gross hand function done at 6 wk, 2 mo, 3 mo and 6 mo follow-up.
  
  
  CONCLUSIONS
  High-tension electrical burns lead to significant morbidity. These injuries are best managed by early decompression followed by multiple serial debridements. The ideal timing of free flap coverage needs further investigation.
authors.affiliation: Aniruddh Mene, Gautam Biswas, Atul Parashar, Department of Plastic Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India.
authors.forename: Aniruddh
authors.initials: A
authors.lastname: Mene
authors.affiliation: Aniruddh Mene, Gautam Biswas, Atul Parashar, Department of Plastic Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India.
authors.forename: Gautam
authors.initials: G
authors.lastname: Biswas
authors.affiliation: Aniruddh Mene, Gautam Biswas, Atul Parashar, Department of Plastic Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India.
authors.forename: Atul
authors.initials: A
authors.lastname: Parashar
authors.affiliation: Aniruddh Mene, Gautam Biswas, Atul Parashar, Department of Plastic Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India.
authors.forename: Anish
authors.initials: A
authors.lastname: Bhattacharya
keywords: Early debridement; Electrical burns; Forearm; Vascularized cover