Effects of early versus delayed excision and grafting on the return of the burned hand function

Despite a general consensus regarding the impacts of early excision and grafting (EE and G) of burned hand on the reducing of treatment cost and hospital stay, there are some controversial issues about its eff ect on the outcome of hand function.Th is study conducted to compare the results of the EE and G and delayed skin grafting in deep hand burns regarding the hand functional outcome.
Th is study was conducted from April 2012 to November 2013 in sixty patients with deep thermal burns of the dorsal hand with total body surface area (TBSA) Th e average percentage of TBSA in the EE and G group was more than the delayed excision group (17.34% ±5.12% vs. 15.64% ±5.83%), this diff erence was not signifi cant (P = 0.23). After 6 months, the average of the TAM and grip strength in the EE and G group was signifi cantly more than that of the delayed group (P Th e present study showed that EE and G with proper physical therapy and rehabilitation management provides a higher functional outcome in dorsal deep burned hand.