OBJECTIVE: We evaluated the long-term outcome of the "pocket flap-graft" technique, used to cover acute deep @entity4808 of the dorsum of the hand, and analyzed surgical alternatives. METHODS: This was a 6-year, retrospective study of 8 @entity1 with extensive @entity4808 and 1 @entity1 with a single burn (11 hands in all) treated by defatted abdominal wall pockets. We studied the medical records of the @entity1 , and conducted a follow-up examination. RESULTS: All hands had fourth-degree thermal @entity4808 caused by flames, with exposure of tendons, bones, and joints, and poor functional prognosis. One third of @entity1 had @entity1230 . Burns affected an average of 36% of the hand surface, and mean coverage was 92.8 cm(2). One @entity1 died. The 8 others were seen at 30-month follow-up: the skin quality of the flap was found to be good in 55% of the cases, the score on the Vancouver Scar Scale was 2.4, the Kapandji score was 4.5, and total active motion was 37% of that of a normal hand. Hand function was limited in only 2 cases, 8 @entity1 were able to drive, and 3 @entity1 had gone back to work. CONCLUSION: The pocket flap-graft allows preservation of hand function following severe @entity4808 , when local or free flaps are impossible to perform. Debulking of the flap at the time of elevation limits the need for secondary procedures.

Acute XXXX covered by a pocket flap-graft: long-term outcome based on nine cases.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity1230 :: ('MESH:D009104', 'Disease') :: ['multiple injuries'] @entity4808 :: ('MESH:D002056', 'Disease') :: ['burns']
@entity4808 :: (MESH:D002056,Disease) :: ['deep hand burns']
