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. 2019 Dec;44(10):1031-1035.
doi: 10.1177/1753193419846829. Epub 2019 May 9.

Skin grafting after paediatric palmar burns: an analysis of 82 patients

Evi M Morandi  1 , Elisabeth Schwabegger  1 , Christoph Tasch  1 , Gerhard Pierer  1 , Gabriel Djedovic  2 , Eva-Maria Baur  1
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Skin grafting after paediatric palmar burns: an analysis of 82 patients

Evi M Morandi et al. J Hand Surg Eur Vol. 2019 Dec.

Abstract

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. Level of evidence: IV.

Keywords: Paediatric burn injury; donor site morbidity; instep region; palm; scar contracture; split thickness skin graft.

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