The Use of the Millard 'Crane' Flap for Deep Hand Burns With Exposed Tendons and Joints
| Autor: | H. Matsumura, Dana Nakamura, N. B. Vedder, Loren H. Engrav |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Statistical difference Surgical Flaps Abdomen Humans Medicine Child General Nursing Groin Abdominal skin business.industry Rehabilitation Hand Injuries Infant Skin Transplantation Middle Aged Surgical procedures eye diseases Surgery Treatment Outcome medicine.anatomical_structure Child Preschool General Health Professions Emergency Medicine Upper limb Female Burns business |
| Zdroj: | Journal of Burn Care & Rehabilitation. 20:316-319 |
| ISSN: | 0273-8481 |
| Popis: | Deep hand burns with exposed tendons and joints are rare but devastating injuries. They cannot be grafted and require flaps. Abdominal or groin flaps are commonly used, but they are bulky and require separation of the digits. We tried the Millard "crane" flap for these burns and compared our patients' results with those of patients who had received standard abdominal skin flaps. Eleven deep hand burns that had been treated with flaps were evaluated. Six patients had been treated with the crane flap and 5 had been treated with conventional abdominal skin flaps. All crane procedures provided graftable wound beds. The total active ranges of motion of all 11 patients 6 months after the surgical procedures showed no statistical difference. The crane method also provides good cosmetic results. None of the hands treated with crane flaps required procedures to separate the digits or debulk the flaps, but all of the hands treated with conventional abdominal skin flaps required these types of procedures. |
| Databáze: | OpenAIRE |
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