Groin Flap in Paediatric Age Group to Salvage Hand after Electric Contact Burn: Challenges and Experience
Introduction: Electric contact burn is characterised by multiple wounds produced by entrance and exit of the current. Hand is most commonly involved in the same and children are particularly susceptible to such accidents. Aim: To document effectiveness and challenges associated with the use of...
Main Authors: | , , |
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Format: | Article |
Language: | English |
Published: |
JCDR Research and Publications Private Limited
2017-08-01
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Series: | Journal of Clinical and Diagnostic Research |
Subjects: | |
Online Access: | https://jcdr.net/articles/PDF/10332/29124_CE(RA1)_F(SS)PF1_(RB_KM_PY)_PFA(P_VSU).pdf |
Summary: | Introduction: Electric contact burn is characterised by multiple
wounds produced by entrance and exit of the current. Hand
is most commonly involved in the same and children are
particularly susceptible to such accidents.
Aim: To document effectiveness and challenges associated
with the use of groin flap as an initial definitive treatment of
electric contact burn in paediatric age group.
Materials and Methods: From January 2015 to December
2016, 25 children up to 12 years of age, who were admitted
at SMS Medical College, Jaipur, Rajasthan, India, after electric
burn injury with hand defect and who were treated by pedicled
groin flap at the Department of Plastic and Reconstructive
Surgery, were included in the study. Details related to gender,
age, type of voltage injury, sites of injury and postoperative
complications were recorded. The groin flap was used in these
children for coverage of hand and finger defect with exposed
bone and tendon.
Results: Normal functional results were seen in all children
treated with pedicled groin flap and all were able to perform
activities of daily living. All the children had satisfactory aesthetic
result.
Conclusion: Although, groin flap was an uncomfortable
procedure due to limb position that was particularly difficult for
children, it was found to be a useful method to salvage hand
and it resulted in favourable functional and aesthetic outcome
in each case. |
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ISSN: | 2249-782X 0973-709X |