Functional outcome after skin grafting of the burned dorsal hand in fist position with wrist in 30° flexion: evaluation of a new treatment protocol

Completed

Conditions: burns
split skin grafts
10022114
brandwondletsel

Registration Number: NL-OMON33260

Lead Sponsor: Vereniging Samenwerkende Brandwondencentra Nederland

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: Not specified

Target Recruitment: 5

Inclusion Criteria

Patients with burns of the dorsal hand needing skin grafting.
The burns should involve at least one of the following joints; wrist and/or one metacarpophalangeal joint.
Informed consent

Exclusion Criteria

-Age <18 years
-Severe cognitive dysfunction
-Poor Dutch proficiency
-Co morbidity that can influence wound healing (e.g. diabetes)
-Pre-injury hand problems
-Burns of the palmar hand
-Burns involving tendons, muscles and ligaments. Deeper structures should be at length, without arthrogene constraints.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>The main study parameter is the difference in time to complete active full fist<br /><br>position after operation between the index and comparator group, in days. </p><br>

Secondary Outcome Measures

Name	Time	Method
<p>Feasibility will be assessed by evaluation of patient inclusion and drop-out<br /><br>and the burden for patients and staff. In addition, pain scores will be<br /><br>assessed.<br /><br>Secondary outcome assessment include active and passive joint range of motion<br /><br>of wrist and fingers, self-reported hand function with the Michigan Hand<br /><br>Outcome Questionnaire, observed hand function with the Jebsen hand Taylor Test,<br /><br>muscle strength, oedema and sensibility of the hand. Outcome assessors will<br /><br>evaluate functional outcome 7 and 14 days post ok and at 1, 5 and 12 months<br /><br>post ok. </p><br>