Evaluation of early excision of dorsal burns of the hand.

Abstract:

:To determine the best method for treating deep second- and third-degree burned hands in our institution, a prospective study comparing early excision and grafting with nonsurgical treatment was undertaken. The patients were randomly assigned to two groups, and the hands in the first group were excised and grafted within 5 days after the burn. In the second group, burns were treated with topical chemotherapy and hydrotherapy, and the eschar was allowed to separate spontaneously and heal. Some required skin grafting, forming a subgroup. All hands in the study received the same vigorous physical therapy twice daily, and splints were applied according to the patient's individual needs to maintain an anti-deformity position. Grip strength, power pinch, and accurate range-of-motion measurements of each finger joint were measured upon discharge and 1, 2, 3, 6, and 12 months after the burn. A mean total degrees of motion (including flexion and extension) in each joint and strength values were determined for comparison among the three groups. At discharge, the spontaneously healed hands had the best range of motion and function. Although the rate of improved function was greatest in the interval from discharge to 6 months in all groups, by 1 year there was no statistical difference in function regardless of the initial treatment. Thus in deep second- and third-degree burns of the dorsum of the hand, care may be individualized according to other systemic factors without fear of sacrificing ultimate function.

journal_name

Plast Reconstr Surg

authors

Salisbury RE,Wright P

doi

10.1097/00006534-198204000-00017

subject

Has Abstract

pub_date

1982-04-01 00:00:00

pages

670-5

issue

4

eissn

0032-1052

issn

1529-4242

journal_volume

69

pub_type

临床试验,杂志文章,随机对照试验
  • Quantitative culture technique and infection in complex wounds of the extremities closed with free flaps.

    abstract::The purpose of this study was twofold: (1) to determine if there is a relationship between a critical quantity of bacteria and infection in complex extremity wounds, and (2) to compare the positive and negative predictive values, sensitivities, and specificities of the following laboratory and clinical tests of potent...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Breidenbach WC,Trager S

    更新日期:1995-04-01 00:00:00

  • Comparison of vascular hemodynamics in experimental models of microvascular anastomoses.

    abstract::Blood flow was measured in the canine saphenous artery using electromagnetic flowmetry. Significant increase in blood flow was noted after occlusion of the distal femoral artery. However, after raising a saphenous island flap there was no significant change in the blood flow before and after distal femoral artery occl...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198302000-00017

    authors: Rao VK,Morrison WA,Angus JA,O'Brien BM

    更新日期:1983-02-01 00:00:00

  • Experimental and clinical study on the vitality of orthotopic cartilage transplants.

    abstract::Orthotopic cartilage transplants are performed in the course of numerous rhinosurgical operations. Precondition of a permanent success of the operation is preservation of vitality of the transplanted cartilage. Although numerous study results of heterotopic cartilage transplants exist, corresponding examinations in or...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199504000-00007

    authors: Gubisch W,Greulich M,Donath K

    更新日期:1995-04-01 00:00:00

  • Reconstruction of the superior labial sulcus in secondary bilateral cleft lip deformities: an inverted U-shaped flap.

    abstract::A shallow buccal sulcus deformity following bilateral cleft lip repair is not rare. A variety of techniques are described for the secondary reconstruction of a deficient sulcus. Most of these are associated with a variable amount of contraction with subsequent obliteration of the sulcus. In this article, an inverted U...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200112000-00004

    authors: Erol OO,Ağaoğlu G

    更新日期:2001-12-01 00:00:00

  • Cytomegalovirus and other infectious issues related to face transplantation: specific considerations, lessons learned, and future recommendations.

    abstract:BACKGROUND:Composite tissue allotransplantation is fraught with complexities similar to those of solid organ transplantation, including donor-related cytomegalovirus transmission. With this in mind, the authors' objective was to (1) report their team's experience with infections and donor-related cytomegalovirus transm...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e318208d03c

    authors: Gordon CR,Avery RK,Abouhassan W,Siemionow M

    更新日期:2011-04-01 00:00:00

  • A fresh cadaveric study of the paratubal muscles: implications for eustachian tube function in cleft palate.

    abstract::The aims of this anatomic investigation were to examine the levator veli palatini, tensor veli palatini, and salpingopharyngeus muscles in relation to normal eustachian tube function and to analyze the clinical implications of these data for tubal physiology in cleft palate individuals. Detailed dissections under 3.2x...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199709001-00003

    authors: Huang MH,Lee ST,Rajendran K

    更新日期:1997-09-01 00:00:00

  • Definitive diagnosis of breast implant rupture using magnetic resonance imaging.

    abstract::Breast implant rupture is an important complication of augmented and reconstructed breasts. Although several techniques such as mammography, xeromammography, ultrasound, thermography, and computed tomographic (CT) scanning have been proven to be useful to detect implant rupture, they have several disadvantages and lac...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199309001-00018

    authors: Ahn CY,Shaw WW,Narayanan K,Gorczyca DP,Sinha S,Debruhl ND,Bassett LW

    更新日期:1993-09-01 00:00:00

  • The incidence of late cephalohematoma following craniofacial surgery.

    abstract:BACKGROUND:Cranial vault remodeling procedures are carried out for both syndromic and nonsyndromic craniosynostosis as well as to correct some acquired deformities of the cranial vault. These procedures improve not only cosmesis but also neurological symptoms. The purpose of this study was to determine the incidence of...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000277997.56941.e5

    authors: Ghali S,Knox KR,Boutros S,Thorne CH,McCarthy JG

    更新日期:2007-09-15 00:00:00

  • Wound healing: an overview.

    abstract::Understanding wound healing today involves much more than simply stating that there are three phases: inflammation, proliferation, and maturation. Wound healing is a complex series of reactions and interactions among cells and "mediators." Each year, new mediators are discovered and our understanding of inflammatory m...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/01.prs.0000222562.60260.f9

    authors: Broughton G 2nd,Janis JE,Attinger CE

    更新日期:2006-06-01 00:00:00

  • Mandibular reconstruction with the titanium hollow screw reconstruction plate (THORP) system: evaluation of 62 cases.

    abstract::The titanium hollow screw reconstruction plate (THORP) system for reconstruction of lower jaw defects provides a functional stable fixation and is used as a long-term or permanent implant in tumor surgery and in traumatology. The rigid fixation of the head of the screw to the plate, avoiding unphysiologic loads to the...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198811000-00013

    authors: Vuillemin T,Raveh J,Sutter F

    更新日期:1988-11-01 00:00:00

  • The Influence of Insurance Type on Management of Carpal Tunnel Syndrome: An Analysis of Nationwide Practice Trends.

    abstract:BACKGROUND:The purpose of this study was to evaluate the impact of insurance type on use of diagnostic testing, treatments, and the efficiency of care for patients with carpal tunnel syndrome. METHODS:The 2009 to 2013 Truven MarketScan Databases were used to identify adult patients with carpal tunnel syndrome. Insuran...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000002635

    authors: Sears ED,Swiatek PR,Hou H,Chung KC

    更新日期:2016-11-01 00:00:00

  • Anatomical study of the medial crura and the effect on nasal tip projection in open rhinoplasty.

    abstract:BACKGROUND:Common variations in morphology of the medial crura have been described. The authors' observation is that changes in nasal tip projection depend on the shape and strength of the medial crura. The authors investigated how differences in medial crura shape affect tip projection after surgical intervention. ME...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3182a0137a

    authors: Patel KB,Mendonca DA,Skolnick G,Woo AS

    更新日期:2013-10-01 00:00:00

  • Upper and lower eyelid reconstruction.

    abstract::Reconstruction of the eyelids can range from simple repair to the integration of multiple complex procedures. Knowledge of eyelid anatomy, adequate preoperative planning, and meticulous surgical technique will optimize the anatomical and functional result. The purpose of this article is to review the relevant anatomy ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181eff70e

    authors: Codner MA,McCord CD,Mejia JD,Lalonde D

    更新日期:2010-11-01 00:00:00

  • Relevant Surgical Anatomy of Pterygomaxillary Dysjunction in Le Fort III Osteotomy.

    abstract:BACKGROUND:Le Fort III osteotomy represents the foundation of surgical correction for midface hypoplasia. One serious complication of Le Fort III osteotomy is severing the internal maxillary artery or its branches during osteotome advancement for pterygomaxillary dysjunction. This study sought to characterize the relev...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000003084

    authors: Orra S,Tierney WS,Capone AC,Gharb BB,Papay FA,Doumit G

    更新日期:2017-03-01 00:00:00

  • A Review of 30 Years of Alveolar Bone Grafting in the Mixed Dentition Using a Standardized Protocol in Western Australia.

    abstract:BACKGROUND:Outcomes for a continuously applied alveolar bone grafting protocol, established in 1982, are reported and compared to previously published outcomes from the authors' unit and elsewhere. METHODS:A descriptive, retrospective cohort study of alveolar bone grafting outcomes at a tertiary referral cleft center ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000006494

    authors: Keribin P,Nicholls W,Walters M,Tan A,McAlpine M,Gillett D

    更新日期:2020-02-01 00:00:00

  • Nasal Dorsal Augmentation with Freeze-Dried Allograft Bone: 10-Year Comprehensive Review.

    abstract:BACKGROUND:The aim of this study was to evaluate freeze-dried cortical allograft bone for nasal dorsal augmentation. The 42-month report on 18 patients was published in 2009 in Plastic and Reconstructive Surgery with 89 percent success at level II evidence, and this article is the 10-year comprehensive review of 62 pat...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000005166

    authors: Clark RP,Pham PM,Ciminello FS,Hagge RJ,Drobny S,Wong GB

    更新日期:2019-01-01 00:00:00

  • Photographic standards in plastic surgery.

    abstract::Standard photographic technique in plastic surgery is an important topic that has been stressed in the discipline over the past several years. Clinical photographs should always be taken with the same camera lens, lens setting, lighting, film, and patient position to ensure reproducibility and to enable valid pre- and...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199808000-00045

    authors: DiBernardo BE,Adams RL,Krause J,Fiorillo MA,Gheradini G

    更新日期:1998-08-01 00:00:00

  • Objective monitoring for safe tissue expansion.

    abstract::The high incidence of complications during tissue expansion may be related to overexpansion with subsequent tissue necrosis and implant extrusion. Subjective parameters such as pain or capillary fill may be poor guidelines for determining the end point of a given session of expansion. In an attempt to rectify this pro...

    journal_title:Plastic and reconstructive surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/00006534-198603000-00013

    authors: Hallock GG,Rice DC

    更新日期:1986-03-01 00:00:00

  • Regional differentiation of rat cranial suture-derived dural cells is dependent on association with fusing and patent cranial sutures.

    abstract::A significant body of literature supports a role for the dura mater underlying cranial sutures in the regulation of sutural fate. These studies have implicated regional differentiation of the dura mater based on association with fusing and patent rat cranial sutures. The purpose of these experiments was to isolate and...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199909040-00016

    authors: Mehrara BJ,Greenwald J,Chin GS,Dudziak M,Sagrioglu J,Steinbrech DS,Saadeh PB,Gittes GK,Longaker MT

    更新日期:1999-09-01 00:00:00

  • Management of High-Output Chyle Leak after Harvesting of Vascularized Supraclavicular Lymph Nodes.

    abstract::Vascularized lymph node transfer is a physiologic microsurgical technique used for the treatment of lymphedema. As vascularized lymph node transfer is becoming more common, it is essential that one is aware of all potential complications associated with vascularized lymph node transfer and know how to avoid and manage...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000005433

    authors: Teven CM,Hunter CL,Chang DW

    更新日期:2019-04-01 00:00:00

  • Rigid external distraction: its application in cleft maxillary deformities.

    abstract::Patients with severe maxillary hypoplasia secondary to congenital facial clefting present numerous challenging problems for the reconstructive surgeon. Traditional surgical/orthodontic approaches for these patients often fall short of expectations, especially for achieving normal facial aesthetics and proportions. The...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Polley JW,Figueroa AA

    更新日期:1998-10-01 00:00:00

  • A Current Review of Synthetic Meshes in Abdominal Wall Reconstruction.

    abstract::The use of mesh materials for reinforcement of the abdominal wall has revolutionized the approaches to hernia repair. Whether it's a permanent, synthetic mesh, a biologically derived collagen graft, or a synthetic, bioresorbable construct, data demonstrate improved outcomes with respect to recurrence with their use. N...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0000000000004857

    authors: Cobb WS

    更新日期:2018-09-01 00:00:00

  • The Risk of Complications after Carpal Tunnel Release in Patients Taking Acetylsalicylic Acid as Platelet Inhibition: A Multicenter Propensity Score-Matched Study.

    abstract:BACKGROUND:Carpal tunnel release is one of the most common procedures in hand surgery. There is only scarce evidence regarding whether platelet inhibitors increase the risk of developing postoperative hemorrhage in carpal tunnel release. METHODS:This is a multicenter, propensity score-matched study including 635 carpa...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1097/PRS.0000000000006465

    authors: Kaltenborn A,Frey-Wille S,Hoffmann S,Wille J,Schulze C,Settje A,Vogt PM,Gutcke A,Ruettermann M

    更新日期:2020-02-01 00:00:00

  • A method with three triangular flaps as a secondary operative procedure after reconstruction of the lower lip by Estlander's method.

    abstract::We have devised a new method for secondary commissuroplasty after reconstruction of the lower lip using Estlander's method with both aesthetically and functionally satisfactory results. This method consists of forming two equilaterally triangular mucosal flaps on the vermilion and a small triangular skin flap in the n...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199210000-00025

    authors: Ono I,Ariga K,Gunji H,Hasegawa T,Sato M,Kaneko F

    更新日期:1992-10-01 00:00:00

  • Fungi in and around implants after augmentation mammaplasty.

    abstract::Four cases of possible fungal infections after 700 augmentation mammaplasties are presented in a 9-year experience. The source could not be determined. If any readers have had one or more similar cases, we would appreciate your contacting us. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197912000-00008

    authors: Truppman ES,Ellenby JD,Schwartz BM

    更新日期:1979-12-01 00:00:00

  • The impact of negative-pressure wound therapy with instillation compared with standard negative-pressure wound therapy: a retrospective, historical, cohort, controlled study.

    abstract:BACKGROUND:Negative-pressure wound therapy with instillation is a novel wound therapy that combines negative pressure with instillation of a topical solution. METHODS:This retrospective, historical, cohort-control study examined the impact of negative-pressure wound therapy with and without instillation. RESULTS:One ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000438060.46290.7a

    authors: Kim PJ,Attinger CE,Steinberg JS,Evans KK,Powers KA,Hung RW,Smith JR,Rocha ZM,Lavery L

    更新日期:2014-03-01 00:00:00

  • Late recurrence of localized cutaneous melanoma: its influence on follow-up policy.

    abstract::This paper reports 11 cases of recurrence 10 years or more after primary treatment of clinically local cutaneous melanoma at the Peter MacCallum Cancer Institute. Using the product-limit method for estimating recurrence-free survival, two late recurrence rates have been calculated. The estimated late recurrence rate a...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199009000-00024

    authors: McEwan L,Smith JG,Matthews JP

    更新日期:1990-09-01 00:00:00

  • The extensor digitorum brevis muscle island flap for soft-tissue loss around the ankle.

    abstract::The extensor digitorum brevis muscle flap, which has already been suggested as a local flap for the foot, has been applied by us in 2 cases with excellent results. This flap, as with other muscle flaps, provides an excellent bed for the skin graft. Furthermore, because of its width, it allows for covering an area of s...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198506000-00024

    authors: Landi A,Soragni O,Monteleone M

    更新日期:1985-06-01 00:00:00

  • Allogeneic Decellularized Muscle Scaffold Is Less Fibrogenic and Inflammatory than Acellular Dermal Matrices in a Rat Model of Skeletal Muscle Regeneration.

    abstract:BACKGROUND:Skeletal muscle trauma can produce grave functional deficits, but therapeutic options remain limited. The authors studied whether a decellularized skeletal muscle scaffold would provide benefits in inducing skeletal muscle regeneration over acellular dermal matrices. METHODS:Eighty-two rat muscle defects we...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000006922

    authors: Iyer H,Lanier S,Dolivo D,Arenas GA,Hong SJ,Mustoe TA,Galiano RD

    更新日期:2020-07-01 00:00:00

  • Subfascial periareolar augmentation mammaplasty.

    abstract::Subfascial placement of implants was introduced 3 years ago. Collected data reveal very promising short-term and long-term results in comparison with subglandular and subpectoral positioned implants. The clinical experiences of 69 breast augmentations in the subfascial position are reported. The indications for this t...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000135906.48388.22

    authors: Stoff-Khalili MA,Scholze R,Morgan WR,Metcalf JD

    更新日期:2004-10-01 00:00:00