| dc.description.abstract | Introduction: Treatment for post-burn contractures is contracture release, scar
excision and skin grafting closure with or without a local flap. Physical changes
that often occur are deformities that can cause problems such as pain, limited
flexion, extension and rotation of the neck area. Researchers are interested in
examining the comparison of early and delayed surgical intervention for the
treatment of burns on adult hands based on grip and pinch function.
Methods: This study is an analytical study using systematic review and metaanalysis
methods that analyze comparisons of early and delayed surgical
interventions for the treatment of burns on adult hands based on grip and pinch
function. The meta-analytic assessment was used with Review Manager software
version 5.4 (Cochrane, Oxford, UK). Odds ratios are considered statistically
significant if the p value <0.05.
Results: There was a significant difference in grip strength between early and
delayed surgery with the mean difference being 6.31 and the p value below 0.05.
(MD: 651; 95% CI, 3.96 – 8.65; z = 5.9; p <0.001) and there was a significant
difference in pinch strength between early and delayed surgery with a mean
difference value of 25.2 and a p value below 0.05. (MD: 25.2; 95% CI, 20.45 –
30.59; z = 9.86; p < 0.001).
Conclusion: Early surgical intervention is better than delayed surgical
intervention for the management of adult hand burns based on grip and pinch
function. | en_US |
