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Status: Bibliographieeintrag

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Verfasst von:Hirche, Christoph [VerfasserIn]   i
 Senghaas, Annika [VerfasserIn]   i
 Fischer, Sebastian [VerfasserIn]   i
 Hollenbeck, S. T. [VerfasserIn]   i
 Kremer, Thomas [VerfasserIn]   i
 Kneser, Ulrich [VerfasserIn]   i
Titel:Novel use of a flowable collagen-glycosaminoglycan matrix (Integra™ Flowable Wound Matrix) combined with percutaneous cannula scar tissue release in treatment of post-burn malfunction of the hand—
Titelzusatz:A preliminary 6 month follow-up
Verf.angabe:C. Hirche, A. Senghaas, S. Fischer, S.T. Hollenbeck, T. Kremer, U. Kneser
Jahr:2016
Umfang:7 S.
Fussnoten:Available online 2 December 2015 ; Im Titel sind die Buchstaben "TM" hochgestellt ; Gesehen am 14.05.2020
Titel Quelle:Enthalten in: Burns
Ort Quelle:Amsterdam [u.a.] : Elsevier Science, 1974
Jahr Quelle:2016
Band/Heft Quelle:42(2016), 1, Seite e1-e7
ISSN Quelle:1879-1409
Abstract:Introduction - Long-term function following severe burns to the hand may be poor secondary to scar adhesions to the underlying tendons, webspaces, and joints. In this pilot study, we report the feasibility of applying a pasty dermal matrix combined with percutaneous cannula teno- and adhesiolysis. - Patients and methods - In this 6 month follow-up pilot study, we included eight hands in five patients with hand burns undergoing minimal-invasive, percutaneous cannula adhesiolysis and injection of INTEGRA™ Flowable Wound Matrix for a pilot study of this new concept. The flowable collagen-glycosaminoglycan wound matrix (FCGWM) was applied with a buttoned 2mm cannula to induce formation of a neo-gliding plane. Post treatment follow-up was performed to assess active range of motion (AROM), grip strength, Disabilities of the Arm, Shoulder and Hand (DASH) score, Vancouver Scar Scale (VSS) and quality of life Short-Form (SF)-36 questionnaire. - Results - No complications were detected associated with the treatment of FCGWM injection. The mean improvement (AROM) at 6 months was 30.6° for digits 2-5. The improvement in the DASH score was a mean of 9 points out of 100. The VSS improved by a mean of 2 points out of 14. - Discussion - The study demonstrates the feasibility and safety of percutaneous FCGWM for dermal augmentation after burn. Results from this pilot study show improvements in AROM for digits 2-5, functional scores from the patient's perspective (DASH) and scar quality (VSS). The flowable form of established INTEGRA™ wound matrix offers the advantage of minimal-invasive injection after scar release in the post-burned hand with a reduction in the risk of postsurgical re-scarring.
DOI:doi:10.1016/j.burns.2015.10.013
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext ; Verlag: https://doi.org/10.1016/j.burns.2015.10.013
 Volltext: http://www.sciencedirect.com/science/article/pii/S030541791500323X
 DOI: https://doi.org/10.1016/j.burns.2015.10.013
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Adhesiolysis
 Dermal augmentation
 Hand burns, scar
 Integra
 Minimal-invasive
 Scar release
 Wound matrix, flowable collagen-glycosaminoglycan wound matrix
K10plus-PPN:1698242611
Verknüpfungen:→ Zeitschrift

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