TY - JOUR
T1 - The use of split-thickness versus full-thickness skin graft to resurface volar aspect of pediatric burned hands
T2 - A systematic review
AU - Prasetyono, Theddeus O.H.
AU - Sadikin, Patricia M.
AU - Saputra, Debby K.A.
N1 - Publisher Copyright:
© 2014 Elsevier Ltd and ISBI. All rights reserved.
PY - 2015/8/1
Y1 - 2015/8/1
N2 - Objective 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. Methods 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. Results 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. Conclusion 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. Type of study/level of evidence Therapeutic, II.
AB - Objective 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. Methods 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. Results 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. Conclusion 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. Type of study/level of evidence Therapeutic, II.
KW - Contracture
KW - Hand injuries
KW - Skin transplantation
UR - http://www.scopus.com/inward/record.url?scp=84931574162&partnerID=8YFLogxK
U2 - 10.1016/j.burns.2015.01.011
DO - 10.1016/j.burns.2015.01.011
M3 - Review article
C2 - 25720658
AN - SCOPUS:84931574162
SN - 0305-4179
VL - 41
SP - 890
EP - 906
JO - Burns
JF - Burns
IS - 5
ER -