Use of preputial skin for coverage of post-burn contractures of fingers in children

Objective: Hand burns are common injuries. Children frequently sustain burn injuries, especially to their hands. Contractures are a common sequel of severe burns around joints. The prepuce, or foreskin, has been used as a skin graft for a number of indications. We conducted this study to evaluate th...

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Main Authors: Mohammed I Zaroo, Bashir A Sheikh, Adil H Wani, Mohammad A Darzi, Mohsin Mir, Hameedullah Dar, U F Baba Peerzada, Haroon R Zargar
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2011-01-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.ijps.org/article.asp?issn=0970-0358;year=2011;volume=44;issue=1;spage=68;epage=71;aulast=Zaroo
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author Mohammed I Zaroo
Bashir A Sheikh
Adil H Wani
Mohammad A Darzi
Mohsin Mir
Hameedullah Dar
U F Baba Peerzada
Haroon R Zargar
author_facet Mohammed I Zaroo
Bashir A Sheikh
Adil H Wani
Mohammad A Darzi
Mohsin Mir
Hameedullah Dar
U F Baba Peerzada
Haroon R Zargar
author_sort Mohammed I Zaroo
collection DOAJ
description Objective: Hand burns are common injuries. Children frequently sustain burn injuries, especially to their hands. Contractures are a common sequel of severe burns around joints. The prepuce, or foreskin, has been used as a skin graft for a number of indications. We conducted this study to evaluate the feasibility of utilising the preputial skin for the management of post-burn contractures of fingers in uncircumcised male children. Materials and Methods: Preputial skin was used for the coverage of released contractures of fingers in 12 patients aged 2-6 years. The aetiology of burns was "Kangri" burn in eight patients and scalding in four patients. Six patients had contracture in two fingers, four patients in one finger, and two patients had contractures in three fingers. Results: None of the patients had graft loss, and all the wounds healed within 2 weeks. All patients had complete release of contractures without any recurrence. Hyperpigmentation of the grafts was observed over a period of time, which was well accepted by the parents. Conclusions: Preputial skin can be used successfully for male children with mild-to-moderate contractures of 2-3 fingers for restoration of the hand function, minimal donor site morbidity.
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spelling doaj.art-029faae2912541f18df0377afe1484a62022-12-22T01:56:19ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2011-01-01441687110.4103/0970-0358.81436Use of preputial skin for coverage of post-burn contractures of fingers in childrenMohammed I ZarooBashir A SheikhAdil H WaniMohammad A DarziMohsin MirHameedullah DarU F Baba PeerzadaHaroon R ZargarObjective: Hand burns are common injuries. Children frequently sustain burn injuries, especially to their hands. Contractures are a common sequel of severe burns around joints. The prepuce, or foreskin, has been used as a skin graft for a number of indications. We conducted this study to evaluate the feasibility of utilising the preputial skin for the management of post-burn contractures of fingers in uncircumcised male children. Materials and Methods: Preputial skin was used for the coverage of released contractures of fingers in 12 patients aged 2-6 years. The aetiology of burns was "Kangri" burn in eight patients and scalding in four patients. Six patients had contracture in two fingers, four patients in one finger, and two patients had contractures in three fingers. Results: None of the patients had graft loss, and all the wounds healed within 2 weeks. All patients had complete release of contractures without any recurrence. Hyperpigmentation of the grafts was observed over a period of time, which was well accepted by the parents. Conclusions: Preputial skin can be used successfully for male children with mild-to-moderate contractures of 2-3 fingers for restoration of the hand function, minimal donor site morbidity.http://www.ijps.org/article.asp?issn=0970-0358;year=2011;volume=44;issue=1;spage=68;epage=71;aulast=ZarooBurncontracturecircumcisionhandprepuce
spellingShingle Mohammed I Zaroo
Bashir A Sheikh
Adil H Wani
Mohammad A Darzi
Mohsin Mir
Hameedullah Dar
U F Baba Peerzada
Haroon R Zargar
Use of preputial skin for coverage of post-burn contractures of fingers in children
Indian Journal of Plastic Surgery
Burn
contracture
circumcision
hand
prepuce
title Use of preputial skin for coverage of post-burn contractures of fingers in children
title_full Use of preputial skin for coverage of post-burn contractures of fingers in children
title_fullStr Use of preputial skin for coverage of post-burn contractures of fingers in children
title_full_unstemmed Use of preputial skin for coverage of post-burn contractures of fingers in children
title_short Use of preputial skin for coverage of post-burn contractures of fingers in children
title_sort use of preputial skin for coverage of post burn contractures of fingers in children
topic Burn
contracture
circumcision
hand
prepuce
url http://www.ijps.org/article.asp?issn=0970-0358;year=2011;volume=44;issue=1;spage=68;epage=71;aulast=Zaroo
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