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Groin Flap in Paediatric Age Group to Salvage Hand after Electric Contact Burn: Challenges and Experience
Pradeep Gupta1, Rakesh Singh Tawar2, Manohar Malviya2
1Professor, Department of Plastic Surgery, Sawai Man Singh Medical College, Jaipur, Rajasthan, India.
Insights
Pedicled groin flaps effectively treated paediatric electric contact hand burns, restoring function and aesthetics. Despite temporary discomfort from limb positioning, this method successfully salvaged hands in all young patients.
Area of Science:
- Plastic Surgery
- Paediatric Burns
- Reconstructive Surgery
Background:
- Electric contact burns often affect hands, especially in children.
- Multiple wounds result from current entry and exit points.
- Children are highly susceptible to severe burn injuries.
Purpose of the Study:
- To evaluate the effectiveness of pedicled groin flaps for paediatric electric contact hand burns.
- To document challenges associated with this reconstructive technique in children.
- To assess functional and aesthetic outcomes of groin flap reconstruction.
Main Methods:
- A study included 25 children (up to 12 years) with hand defects from electric burns.
- Pedicled groin flaps were used for coverage of exposed bone and tendon.
- Data on demographics, injury type, and complications were recorded.
Main Results:
- All patients achieved normal functional results, enabling daily activities.
- Satisfactory aesthetic outcomes were observed in all treated children.
- The pedicled groin flap proved successful in salvaging hand defects.
Conclusions:
- Pedicled groin flaps are a useful method for salvaging paediatric hands after electric burns.
- The procedure yielded favorable functional and aesthetic results in all cases.
- Limb positioning posed a challenge, particularly for younger children.
Introduction:
Electric contact burn is characterised by multiple wounds produced by entrance and exit of the current. Hand is most commonly involved in the same and children are particularly susceptible to such accidents.
Aim:
To document effectiveness and challenges associated with the use of groin flap as an initial definitive treatment of electric contact burn in paediatric age group.
Materials And Methods:
From January 2015 to December 2016, 25 children up to 12 years of age, who were admitted at SMS Medical College, Jaipur, Rajasthan, India, after electric burn injury with hand defect and who were treated by pedicled groin flap at the Department of Plastic and Reconstructive Surgery, were included in the study. Details related to gender, age, type of voltage injury, sites of injury and postoperative complications were recorded. The groin flap was used in these children for coverage of hand and finger defect with exposed bone and tendon.
Results:
Normal functional results were seen in all children treated with pedicled groin flap and all were able to perform activities of daily living. All the children had satisfactory aesthetic result.
Conclusion:
Although, groin flap was an uncomfortable procedure due to limb position that was particularly difficult for children, it was found to be a useful method to salvage hand and it resulted in favourable functional and aesthetic outcome in each case.
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