Email this article Free skin grafting in reconstructive surgery of burns in children
- Authors: Afonichev K.A.1, Nikitin M.S.1, Proshchenko Y.N.1
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Affiliations:
- The Turner Scientific and Research Institute for Children’s Orthopedics
- Issue: Vol 5, No 1 (2017)
- Pages: 39-44
- Section: Articles
- URL: https://ogarev-online.ru/turner/article/view/6156
- DOI: https://doi.org/10.17816/PTORS5139-44
- ID: 6156
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Abstract
When performing reconstructive surgery in children suffering from extensive post-burn hypertrophic scars, the main problem is deficiency of donor intact skin.
Aim. This study aimed to determine the possibility of using the expander skin balloon expansion method for obtaining free, large area split-thickness skin autografts.
Materials and methods. A comparative analysis of treatment for 39 children with extensive post-burn hypertrophic scars was performed. In 16 children (experimental group), balloon skin expansion of a donor site for obtaining large area split-thickness skin grafts (more than 100 cm²) was performed. In 23 children (control group), the large area grafts were cut off without prior balloon skin expansion of the donor site.
Results. In cases where it is necessary to close a wound defect over 100 cm², it is advisable to perform prior balloon skin expansion of the donor site. This technique enables attainment of an injury-resistant free implant full grafting material and also provides multiple uses of a donor site without disturbing the esthetics.
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##article.viewOnOriginalSite##About the authors
Konstantin A. Afonichev
The Turner Scientific and Research Institute for Children’s Orthopedics
Author for correspondence.
Email: afonichev@list.ru
MD, PhD, professor, head of the department of trauma effects and rheumatoid arthritis
Russian FederationMaksim S. Nikitin
The Turner Scientific and Research Institute for Children’s Orthopedics
Email: Yar2011@list.ru
MD, orthopedic and trauma surgeon of the department of trauma effects and rheumatoid arthritis
Russian FederationYaroslav N. Proshchenko
The Turner Scientific and Research Institute for Children’s Orthopedics
Email: Yar2011@list.ru
MD, PhD, research associate of the department of trauma effects and rheumatoid arthritis
Russian FederationReferences
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