TY  - JOUR
PY  - 2009//
TI  - Campfire Burns of the Palms in Crawling Infants in Saudi Arabia: Results Following Release and Graft of Contractures
JO  - Journal of burn care and research
A1  - Al-Qattan, Mohammad M.
SP  - 616
EP  - 619
VL  - 30
IS  - 4
N2  - In Saudi Arabia, camping in the desert is commonly practiced by families. A campfire is usually lit and unsupervised crawling infants are at risk of burns from these campfires. During a 12-year period, a total of 53 children with hand contractures related to campfire burns were treated. The mean age at the time of burn was 9 months (range: 5-12 months). All patients presented with isolated palmar contractures of one (n = 24) or both (n = 29) hands. Surgical release and skin grafting were performed for a total of 82 hands. Full-thickness skin grafts from the groin area were used in mild cases, and thick split-thickness skin grafts harvested from the thigh were used in severe contractures. Graft take ranged from 90 to 100% "take" in all patients. Follow-up ranged from 6 months to 10 years. Recurrence of contracture was calculated for 30 children (52 grafted hands) who had follow-up for more than 5 years. Twenty hands (group I) had thick split-thickness skin grafts, and 10 (50%) of these required a second release and grafting procedure. The remaining 32 hands (group II) had full-thickness grafts and only 3 (9.4%) required a second release and grafting procedure. The difference was statistically significant (P = .003), indicating that group I are more likely to require secondary surgery on long-term follow-up.<p />  <p>Language: en</p>
LA  - en
SN  - 1559-047X
UR  - http://dx.doi.org/10.1097/BCR.0b013e3181ac0298
ID  - ref1
ER  -