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Skin grafting after paediatric palmar burns: an analysis of 82 patients

Evi M Morandi1, Elisabeth Schwabegger1, Christoph Tasch1

  • 1Department of Plastic, Reconstructive and Aesthetic Surgery, Innsbruck Medical University, Innsbruck, Austria.

The Journal of Hand Surgery, European Volume
|May 11, 2019
PubMed

Insights

Full-thickness skin grafts are the best treatment for pediatric palm burns, as split-thickness grafts can cause contractures. Regular follow-ups are recommended for children with burn scars until they are fully grown.

Area of Science:

  • Pediatric surgery
  • Burn reconstruction
  • Dermatology

Background:

  • Contact burns to the palm are frequent in toddlers.
  • Current treatments for pediatric palm burns vary.

Purpose of the Study:

  • To evaluate the outcomes of plantar split-thickness skin grafts for resurfacing pediatric palms.
  • To determine the optimal surgical approach for pediatric palm burn reconstruction.

Main Methods:

  • A case series of 82 pediatric patients (age 7-48 months) with contact burn injuries to the palm.
  • Analysis of outcomes following plantar split-thickness skin graft application.

Main Results:

  • Split-thickness skin grafts, while offering good aesthetic match, can lead to motion-limiting scar contracture in growing children.
  • Full-thickness skin grafts were identified as the superior treatment option.

Conclusions:

  • Full-thickness skin grafts are the gold standard for pediatric palm reconstruction.
  • Children with burn scars require ongoing monitoring until skeletal maturity to manage potential contractures.

Keywords:
Paediatric burn injurydonor site morbidityinstep regionpalmscar contracturesplit thickness skin graft

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