Department of Plastic, Reconstructive and Aesthetic Surgery, Innsbruck Medical University, Innsbruck, Austria.
Department of Plastic and Aesthetic, Reconstructive and Hand Surgery, Agaplesion Markus Hospital, Frankfurt am Main, Germany.
J Hand Surg Eur Vol. 2019 Dec;44(10):1031-1035. doi: 10.1177/1753193419846829. Epub 2019 May 9.
Contact burn injuries to the palm are common in toddlers. We report a case series of 82 paediatric patients (age 7-48 months) with contact burn injury of the palm. We share our experience and outcomes of using plantar split-thickness skin grafts for resurfacing of the paediatric palm. We found that despite the excellent colour and texture match, split-thickness skin grafts from glabrous skin during growth are prone to motion-limiting scare contracture. From this series, we conclude that full-thickness skin grafts remain the reference standard of care in paediatric patients' hands. We recommend that children with burn scars should have regular check-up examinations until they are fully grown. IV.
手掌接触烧伤在幼儿中很常见。我们报告了 82 例小儿手掌接触烧伤患者（7-48 个月龄）的病例系列。我们分享了使用足底游离皮片移植修复小儿手掌的经验和结果。我们发现，尽管颜色和质地匹配良好，但生长过程中来自无毛发皮肤的游离皮片容易发生运动受限的瘢痕挛缩。通过本系列研究，我们得出结论，全厚皮片仍然是小儿手部治疗的参考标准。我们建议烧伤瘢痕患儿应定期进行检查，直到他们完全长大。
