[Delayed Post-burn Scar Reconstruction of the Dorsum of the Hand with a Collagen-Elastin-based Dermal Substitute and Split-skin Graft].

[Delayed Post-burn Scar Reconstruction of the Dorsum of the Hand with a Collagen-Elastin-based Dermal Substitute and Split-skin Graft]. Handchir Mikrochir Plast Chir. 2017 Apr;49(2):127-131 Authors: Lebo PB, Grohmann M, Kamolz L Abstract The hands are involved in more than 80% of severe (grade IIb-III) burn accidents. Even if appropriate initial surgical care is provided in a timely manner, this does not necessarily guarantee a satisfactory outcome in terms of function and aesthetics if interdisciplinary postoperative care and patient compliance are inadequate. In the following case, a grade IIb-III burn, this led to unstable scars on the back of both hands and an intrinsic-minus hand position, bilaterally. Our case study demonstrates that even a delayed reconstruction with a collagen- elastin-based dermal substitute and split-skin graft combined with appropriate interdisciplinary postoperative care may lead to an excellent result comparable with the function and aesthetics of healthy hands, albeit with a significant effort. PMID: 28561172 [PubMed - in process]
Source: Handchirurgie Mikrochirurgie Plastische Chirurgie - Category: Cosmetic Surgery Tags: Handchir Mikrochir Plast Chir Source Type: research