Cosmetic and Functional Sequelae in Hand Burns.

Study Overview
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Brief Summary
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Although it represents a small percentage of the body surface, the hand is the most exposed part of the body after the face and neck and is one of the area's most frequently involved in burns. It has a social function, but above all, a functionnal one. An optimized reconstruction of this area after the burn allow the patient to recover the best possible function and increase his chances of returning to professional activity and daily life. Advances in burn treatment, such as improved resuscitation management, rapid excision of burns, skin grafting, regular dressings, and improved metabolic support, have reduced the morbidity and mortality of severe burns. However, significant challenges remain. The hand is the most frequently involved area in burns and is affected in 90% of severe burns. Hand burns requiring releasing incisions are circular, deep burns and represent a significant functional challenge. In the acute setting, current treatment options must prevent complications associated with disruption of the skin's protective function. In the longer term, these treatments should allow the regeneration of fully functional skin. However, some sequelae may persist in the form of sensory deficits, residual pain, retractile scars hindering function in this highly mobile area, or even aesthetic sequelae. The aim of our study was to perform a descriptive analysis of the aesthetic and functional sequelae related to hand burns that required acute realeasing incisions using objective and subjective tools available in the medical records (demographic, clinical and follow-up data in the context of routine care). This retrospective, non-interventional, data-driven study would provide an overview of the sequelae of hand burns with current therapies.

Official Title
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A Descriptive Study of the Cosmetic and Functional Sequelae of Patients Who Received Releasing Incisions in the Management of Acute Upper Limb Burns.

Conditions
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Hand Burn

Intervention / Treatment
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* Other: Quick DASH Score Visual Analog Scale Scar quality Healing Number of surgeries


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria : Adult patients Acute burn (less than 3 days) Burns of one or both hands or finger burns Skin surface burned less than 40% of the body Chemical, thermal, or electrical burns of the hand. Burn that required a skin graft. Exclusion Criteria : Patient refusal Less than 1 month follow-up or death within the first month

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Deep hand burns<br>Adult subjects, who were hospitalized at the Pierre Colson Burn Center with a hand burn that required releasing incisions. | Other: Quick DASH Score Visual Analog Scale Scar quality Healing Number of surgeries<br>* Functional and aesthetic criteria : Quick DASH Score at 3 month and 6 months, Visual Analog Scale at 3 month and 6 months, scar quality (assessment by surgeon), healing (discontinuation of dressings), need for a second surgical procedure.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Functional score | Functional recovery at 3 months and 6 months after the burn (functional score, return to activities) Healing time (discontinuation of dressings). Scar quality (hypertrophic, retractile, surgical revision necessary and surgery of sequela). Burn VAS (1-10) at 3 and 6 months. QuickDASH Score at 3 and 6 months. Scar quality at 6 months. Burn VAS at 3 months and 6 months. | Through the completion of study, average 6 months | 
| Healing assessment |  | Through the completion of study, average 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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hands, functional outcomes, skin graft, releasing incisions, burns