| Objective:To explore the clinical effects of early surgery on hand function recovery in patients with postburn scar deformity of hand.METHODS:The clinical data of 48 patients(62 hands)with postburn scar deformity of hand performed skin grafting surgery between from January 2017 to June 2020 were retrospectively analyzed.Patients were divided into early group and late group according to the timing of operation(within 6 months after injury is the early group,and more than 6 months is the late group).Blood loss was recorded for each patient intraoperatively,and skin graft survival was calculated at the time of pack removal,and the Vancouver Scar Scale(VSS),total active activity of the finger joint(TAM)and the ability of daily living(ADL)scores of all patients were recorded preoperatively and 6 months postoperatively,to evaluate the hand function of patients,and the data were statistically analyzed.RESULTS:1.There was no significant difference in intraoperative blood loss and skin graft survival rate between the two groups(P > 0.05),early surgery did not increase intraoperative blood loss or decrease skin graft survival rate.2.Comparison of VSS,TAM and ADL between pre-operation and postoperation of two groups: Six months after surgery,the VSS scores of patients in both groups were lower than those before surgery,while the TAM and ADL scores were higher than those before surgery(p<0.05).3.Comparison of VSS,TAM and ADL between two groups 6 months after surgery: there was no significant difference in VSS between the early group and the late group(p > 0.05).There were significant differences in finger TAM and ADL in the early group and the late group 6 months after surgery(p < 0.05),and the early group was significantly better than the late group in improving finger TAM and ADL.CONCLUSION:Early skin grafting for postburn scar deformity of hand will not reduce the survival rate of skin graft,and can effectively improve the hand function of patients. |
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