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Management of Post Burn Hand Contractures in Yemen
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Management of Post Burn Hand Contractures in Yemen
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Management of Post Burn Hand Contractures in Yemen
Management of Post Burn Hand Contractures in Yemen
Journal Article

Management of Post Burn Hand Contractures in Yemen

2025
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Overview
* Background: Burn contracture of the hand can result in significant impairment of both physical and mental well-being in patients. Various procedures are being used to reconstruct hand contractures resulting from burns, with the goal of creating a sufficient web space and separating fused digits to achieve both aesthetic and functional improvement in a timely manner. * Patients and Methods: This study utilized a prospective descriptive case methodology. A study was undertaken on a sample of 60 patients to evaluate the functional outcomes of several reconstructive methods for post-burn contractures of the hand. The aim was to determine the most effective surgical intervention for recovering hand capabilities required for daily activities. * Results: The results of our study indicate that the majority of participants were female (63.26%) and male (36.74%), with the majority falling into the middle-aged range of 19-50 years. The median age was 19 years old. Approximately * 5.17% of participants were right-handed. The reconstruction procedures used included STSG, FTSG, and Z-plasty. Early complications included infection (3.3%), graft loss (3.3%) which required reoperated, and tip flap necrosis (1.7%) which managed by dressing and secondary intention. Late complications were also observed. There was a recurrence of contracture in 8.4% of cases and hypertrophic scar formation in 5% of cases. The reconstruction was performed using a cross-finger flap. * Conclusions: post-burn hand contracture can be effectively managed with Z- plasty and its modifications and skin grafts. Postoperative routines include physiotherapy, splinting, and flap selection based on contracture size, location and donor tissue availability. The surgeon experience is also crucial for optimal results.