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[Not Available].

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  • 1Unité de Chirurgie Plastique reconstructive et esthétique, Chirurgie de la main et brûlologie, Faculté de médecine, Université de kinshasa, République Démocratique du Congo.

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Hand burn injuries are common in low-income countries, particularly affecting children. Reconstructive surgery shows feasibility and good outcomes, despite resource limitations in managing these severe burn sequelae.

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Area of Science:

  • Plastic surgery
  • Burn management
  • Reconstructive surgery

Context:

  • Hand burn injuries are a significant public health issue in low-income countries.
  • The University Clinics of Kinshasa, Democratic Republic of Congo (DRC), treated 32 patients (38 hands) between 2010 and 2014.
  • The majority of patients were juveniles (69%), with the highest incidence in the 1-5 year age group (40%).

Purpose:

  • To evaluate the outcomes of reconstructive surgery for hand burn sequelae in a low-resource setting.
  • To identify common etiologies, injury patterns, and challenges in managing hand burns.
  • To assess the feasibility and effectiveness of surgical interventions.

Summary:

  • Thermal flame (51%) and scalds (34%) were primary burn causes, predominantly occurring in home environments (72%).
  • Contractures (84%), including "claw hand" deformity (40%), were prevalent, often associated with keloid and hypertrophic scars (84%).
  • Surgical interventions included excision and grafting (43.7%), local flaps (43.7%), and distant flaps (12.5%), achieving 84% good results at 18-month follow-up.

Impact:

  • Demonstrates the feasibility of advanced reconstructive surgery for hand burn sequelae even with limited resources.
  • Highlights the need for improved initial burn management and access to plastic surgery techniques in low-income countries.
  • Addresses the challenges posed by poverty and resource scarcity in comprehensive burn care.