Outcome of the acellular dermal matrix and split thickness skin graft in release of post burn contractures in hand.

  • Abdul Malik Mujahid Ghazi Medical College, DG Khan.
  • Husnain Khan Holy Family Hospital, Rawalpindi.
  • Yawer Sajjad Jinnah Burn and Reconstructive Surgery Center, Lahore.
  • Kashif Mehmood Sheikh Jinnah Burn and Reconstructive Surgery Center, Lahore.
  • Noor Ali Jinnah Burn and Reconstructive Surgery Center, Lahore.
  • Moazzam Nazeer Tarar Jinnah Burn and Reconstructive Surgery Center, Lahore.
Keywords: Acellular Dermal Matix, Post-burn Contractures, Split Thickness Skin Graft, Vancouver Scar Scale

Abstract

Objective: To determine the frequency of success of acellular dermal matrix and split thickness skin graft in release of post burn contractures in hand using Vancouver scar scale. Study Design: Descriptive Case Series. Setting: Department of Plastic Surgery, Jinnah Burn and Reconstructive Surgery Center, Lahore. Period: 1st March, 2019 to 30th October, 2019. Material & Method: A descriptive case series conducted at Plastic Surgery Department, Jinnah Burn and Reconstructive Surgery Center, Lahore. A sample size of 75 patients, who full filled the inclusion criteria, was selected through non probability consecutive sampling Informed consent was obtained from all the patients. Pre-operative photography was done to compare the post-operative results. After the release of contractures, coverage with acellular dermis and split thickness skin graft was performed. All the patients were followed up to 2 months and the outcome was assessed by Vancouver Scar Scale. The collected data was entered and analyzed by using SPSS version 20. Descriptive statistics were calculated. Quantitative variables like age, size of scar were presented as mean, ± standard deviation. Qualitative variables were presented as frequencies and percentages. Results: Mean age of patient was 30 ± 9 years. Among them 40 were males and 35 females. Vancouver scale showed successful outcome (score ≤4) in 70.66 % of the patients. Partial release of contracture was the major complication seen in 5.33% of cases. Conclusion: Acelluar dermal matrix followed by split thickness skin graft is a very reliable option for coverage after release of post-burn contractures in hand as it provides very pliable, thin and lax skin with good color match and better contour to surrounding tissue.

Author Biographies

Abdul Malik Mujahid, Ghazi Medical College, DG Khan.

MBBS, FCPS

Assistant Professor Plastic Surgery

Husnain Khan, Holy Family Hospital, Rawalpindi.

MBBS, FCPS

Assistant Professor Plastic Surgery

Yawer Sajjad, Jinnah Burn and Reconstructive Surgery Center, Lahore.

MBBS, FCPS

Associate Professor Plastic Surgery 

Kashif Mehmood Sheikh, Jinnah Burn and Reconstructive Surgery Center, Lahore.

MBBS, FCPS

Senior Registrar Plastic Surgery 

Noor Ali, Jinnah Burn and Reconstructive Surgery Center, Lahore.

MBBS

Medical Officer/ Post Graduate Resident Plastic Surgery

Moazzam Nazeer Tarar, Jinnah Burn and Reconstructive Surgery Center, Lahore.

MBBS, FRCS, FCPS

Professor Plastic Surgery

Published
2021-02-10