Prasetyono Theddeus O H, Sadikin Patricia M, Saputra Debby K A
Division of Plastic Surgery, Department of Surgery, Cipto Mangunkusumo Hospital/Faculty of Medicine University of Indonesia, Jakarta, Indonesia.
Diponegoro 71, Jakarta 13410, Indonesia.
Burns. 2015 Aug;41(5):890-906. doi: 10.1016/j.burns.2015.01.011. Epub 2015 Feb 24.
The aim of this systematic review was to discuss the comparison of split-thickness skin graft (STSG) and full-thickness skin graft (FTSG) use as the treatment for volar digital and palmar burns in children.
We conducted PubMed and Cochrane Library searches using keywords "hand injuries", "contracture" and "skin transplantation". The search was limited to studies published from 1st January 1980 until 31st December 2013 and used English language. We selected the studies based on specific inclusion and exclusion criteria. We assessed the quality of the studies by using Newcastle-Ottawa Scale (NOS) for cohort studies.
We included eight articles in our systematic review. One of those studies is a prospective cohort study and the others are retrospective cohort studies. Based on combined range of motion (ROM) evaluation in three studies, STSG group yielded poorer functional outcomes than FTSG group. However, there is no study which can fairly show that FTSG was significantly superior to STSG to achieve good functional outcomes.
Currently, there is no strong, high-quality evidence to prove that FTSG is superior to STSG to cover pediatric palmar burns. Either FTSG or STSG can be utilized with consideration of several influential factors especially splinting and physiotherapy.
本系统评价旨在探讨用于治疗儿童手掌和手指掌侧烧伤的中厚皮片移植（STSG）与全厚皮片移植（FTSG）的比较。
我们使用关键词“手部损伤”、“挛缩”和“皮肤移植”在PubMed和Cochrane图书馆进行检索。检索限于1980年1月1日至2013年12月31日发表的英文研究。我们根据特定的纳入和排除标准选择研究。我们使用纽卡斯尔-渥太华量表（NOS）对队列研究评估研究质量。
我们的系统评价纳入了8篇文章。其中1项研究是前瞻性队列研究，其他是回顾性队列研究。根据三项研究中联合活动范围（ROM）评估，STSG组的功能结局比FTSG组差。然而，没有研究能够充分表明FTSG在实现良好功能结局方面显著优于STSG。
目前，没有有力的高质量证据证明FTSG在覆盖儿童手掌烧伤方面优于STSG。考虑到几个影响因素，尤其是夹板固定和物理治疗，FTSG或STSG均可使用。
