Clinical Characteristics of Hand and Finger Contractures in Postburn Patients: A Single-Center Retrospective Analysis at a Top Referral Hospital in West Java, Indonesia
Purpose: Contracture is a common complication following severe burns, with the hands being particularly susceptible. Although not life-threatening, hand and finger contractures can significantly reduce a patient’s quality of life by impairing joint function and mobility. This study aims to describe...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-05-01
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| Series: | Journal of Hand Surgery Global Online |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589514125000386 |
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| author | Wafiq Wibawa, BMedSc Arif Tri Prasetyo, MD, MClinMed Betha Egih Riestiano, MD Hardisiswo Soedjana, MD, PhD Raja Iqbal Mulya Harahap, MD |
| author_facet | Wafiq Wibawa, BMedSc Arif Tri Prasetyo, MD, MClinMed Betha Egih Riestiano, MD Hardisiswo Soedjana, MD, PhD Raja Iqbal Mulya Harahap, MD |
| author_sort | Wafiq Wibawa, BMedSc |
| collection | DOAJ |
| description | Purpose: Contracture is a common complication following severe burns, with the hands being particularly susceptible. Although not life-threatening, hand and finger contractures can significantly reduce a patient’s quality of life by impairing joint function and mobility. This study aims to describe the characteristics of hand and finger contractures in postburn patients who underwent surgery at Top Referral Hospital in West Java, Indonesia between 2019 and 2023. Methods: This research is an observational descriptive study with a cross-sectional design, using medical record data of postburn hand and finger contracture patients treated in the Division of Plastic Reconstructive and Aesthetic Surgery at our institution, from 2019 to 2023. The sampling technique used was total sampling, and the data were analyzed using descriptive statistics. Results: A total of 42 patient records met the inclusion criteria. The majority of patients were men (59.3%) and under 6 years of age (40.5%). The most common cause of burns was fire (45.2%). Contractures most frequently occurred in the right third finger (10.1%) and were predominantly of dermal depth (85.1%). The contractures were more often diffuse (69.9%), with flexion being the most common deformity (58.9%). The average length of hospital stay was 9 ± 18 days, and the average time to surgery was 30 ± 48 months. Conclusions: This study highlights the predominance of hand and finger contractures in young men, with fire-related burns as the leading cause. The findings underscore the critical need for early burn prevention strategies, particularly in high-risk pediatric populations, and timely surgical intervention to minimize long-term functional impairment. Understanding the anatomical distribution and contracture types can aid clinicians in optimizing treatment approaches and rehabilitation protocols to improve patient outcomes. Type of study/level of evidence: Therapeutic IV. |
| format | Article |
| id | doaj-art-27fc44024435421ca6828d149134d5a4 |
| institution | OA Journals |
| issn | 2589-5141 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Hand Surgery Global Online |
| spelling | doaj-art-27fc44024435421ca6828d149134d5a42025-08-20T01:55:21ZengElsevierJournal of Hand Surgery Global Online2589-51412025-05-017310071810.1016/j.jhsg.2025.02.011Clinical Characteristics of Hand and Finger Contractures in Postburn Patients: A Single-Center Retrospective Analysis at a Top Referral Hospital in West Java, IndonesiaWafiq Wibawa, BMedSc0Arif Tri Prasetyo, MD, MClinMed1Betha Egih Riestiano, MD2Hardisiswo Soedjana, MD, PhD3Raja Iqbal Mulya Harahap, MD4Faculty of Medicine, Universitas Padjadjaran, Sumedang, IndonesiaDivision of Plastic Reconstructive and Aesthetic Surgery, Department of Surgery, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia; Division of Plastic Reconstructive and Aesthetic Surgery, Department of Surgery, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia; Department of Plastic Reconstructive and Aesthetic Surgery, RS Unpad University Hospital, Sumedang, Indonesia; Corresponding author: Arif Tri Prasetyo, MD, MClinMed, Division of Plastic Reconstructive and Aesthetic Surgery, Department of Surgery, Faculty of Medicine, Universitas Padjadjaran, Jl. Pasteur 38, Bandung, West Java, 40161 Indonesia.Division of Plastic Reconstructive and Aesthetic Surgery, Department of Surgery, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia; Division of Plastic Reconstructive and Aesthetic Surgery, Department of Surgery, Dr. Hasan Sadikin General Hospital, Bandung, IndonesiaDivision of Plastic Reconstructive and Aesthetic Surgery, Department of Surgery, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia; Division of Plastic Reconstructive and Aesthetic Surgery, Department of Surgery, Dr. Hasan Sadikin General Hospital, Bandung, IndonesiaDepartment of Clinical Pathology, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia; Department of Clinical Pathology, Faculty of Medicine, Dr. Hasan Sadikin General Hospital, Bandung, IndonesiaPurpose: Contracture is a common complication following severe burns, with the hands being particularly susceptible. Although not life-threatening, hand and finger contractures can significantly reduce a patient’s quality of life by impairing joint function and mobility. This study aims to describe the characteristics of hand and finger contractures in postburn patients who underwent surgery at Top Referral Hospital in West Java, Indonesia between 2019 and 2023. Methods: This research is an observational descriptive study with a cross-sectional design, using medical record data of postburn hand and finger contracture patients treated in the Division of Plastic Reconstructive and Aesthetic Surgery at our institution, from 2019 to 2023. The sampling technique used was total sampling, and the data were analyzed using descriptive statistics. Results: A total of 42 patient records met the inclusion criteria. The majority of patients were men (59.3%) and under 6 years of age (40.5%). The most common cause of burns was fire (45.2%). Contractures most frequently occurred in the right third finger (10.1%) and were predominantly of dermal depth (85.1%). The contractures were more often diffuse (69.9%), with flexion being the most common deformity (58.9%). The average length of hospital stay was 9 ± 18 days, and the average time to surgery was 30 ± 48 months. Conclusions: This study highlights the predominance of hand and finger contractures in young men, with fire-related burns as the leading cause. The findings underscore the critical need for early burn prevention strategies, particularly in high-risk pediatric populations, and timely surgical intervention to minimize long-term functional impairment. Understanding the anatomical distribution and contracture types can aid clinicians in optimizing treatment approaches and rehabilitation protocols to improve patient outcomes. Type of study/level of evidence: Therapeutic IV.http://www.sciencedirect.com/science/article/pii/S2589514125000386BurnsContractureHands and fingersSurgeryTertiary hospital |
| spellingShingle | Wafiq Wibawa, BMedSc Arif Tri Prasetyo, MD, MClinMed Betha Egih Riestiano, MD Hardisiswo Soedjana, MD, PhD Raja Iqbal Mulya Harahap, MD Clinical Characteristics of Hand and Finger Contractures in Postburn Patients: A Single-Center Retrospective Analysis at a Top Referral Hospital in West Java, Indonesia Journal of Hand Surgery Global Online Burns Contracture Hands and fingers Surgery Tertiary hospital |
| title | Clinical Characteristics of Hand and Finger Contractures in Postburn Patients: A Single-Center Retrospective Analysis at a Top Referral Hospital in West Java, Indonesia |
| title_full | Clinical Characteristics of Hand and Finger Contractures in Postburn Patients: A Single-Center Retrospective Analysis at a Top Referral Hospital in West Java, Indonesia |
| title_fullStr | Clinical Characteristics of Hand and Finger Contractures in Postburn Patients: A Single-Center Retrospective Analysis at a Top Referral Hospital in West Java, Indonesia |
| title_full_unstemmed | Clinical Characteristics of Hand and Finger Contractures in Postburn Patients: A Single-Center Retrospective Analysis at a Top Referral Hospital in West Java, Indonesia |
| title_short | Clinical Characteristics of Hand and Finger Contractures in Postburn Patients: A Single-Center Retrospective Analysis at a Top Referral Hospital in West Java, Indonesia |
| title_sort | clinical characteristics of hand and finger contractures in postburn patients a single center retrospective analysis at a top referral hospital in west java indonesia |
| topic | Burns Contracture Hands and fingers Surgery Tertiary hospital |
| url | http://www.sciencedirect.com/science/article/pii/S2589514125000386 |
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