Pediatric Hand Burns: Does the use of Kirschner wires for flexion contracture deformities result in better operative outcome
This study will be based on prospective data collection of pediatric patients undergoing surgical repair of hand burn contractures. Pre and post-operative angulations and range-of-motion of the digits recorded at follow-up appointments will be compared to determine whether or not a difference in outcomes exists between the two groups. At the surgical consultation, the surgeon decides whether k-wire fixation will be used.
We will also identify those that have recurrence of their deformity requiring re-operation. Patients enrolled in the study will include both new patients identified as surgical candidates in clinic as well as patients who have undergone surgical repair of hand burn contracture at this institution within the previous 12 years.
This study will directly compare outcomes in patients who undergo postoperative immobilization with k-wires versus those who do not.
Pediatric patients less than 18 years of age evaluated at Children[Single Quote]s hospital who have developed flexion contractures following hand burns or treadmill burns requiring surgical treatment and/or have had surgical treatment for flexion contracture between 1/1/2000 to 11/30/2012.