ArticleJPRAS open2026
Deep palmar thermal burns in children: predictive factors of post‑burn contracture and timing of secondary surgery - a cohort study of 273 palms.
Article in JPRAS open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Deep palmar burns in young children frequently cause disabling contractures. We aimed to identify the incidence, risk factors, and optimal timing of secondary surgery for surgically significant palmar contracture after split-thickness skin grafting in children under five years. Materials and methods: We conducted a retrospective study of all children <5 years with deep palmar thermal contact burns requiring skin grafting at a single pediatric burn center (2006-2021, minimum 5-year follow-up). All palms were uniformly resurfaced with thin, non-glabrous split-thickness skin grafts harvested from the scalp under a single institutional protocol.Exclusions included non-contact or dorsal injuries, incomplete data, and loss to follow-up. The primary outcome was scar contracture with functional impairment requiring corrective surgery; time to intervention was secondary. Multivariable Cox regression and Kaplan-Meier analysis identified risk factors. Results: Across 273 burned palms in 229 children (mean age at burn 16.5 months, 55.7% male), 125 hands (45.8%) developed a palmar contracture requiring secondary surgery. After adjustment, first web space involvement (HRa 4.45) and third-degree depth (HRa 1.93) were independent predictors, and metacarpal head involvement was protective (HRa 0.32). Referral to a specialized rehabilitation center was also associated with contracture (HRa 1.95) but is best interpreted as a marker of initial burn severity rather than an independent predictor. Mean time to surgery among affected cases was 3.2 years, earliest for hypothenar and first web space involvement. Conclusion: Surgical contracture is common after deep palmar burns in young children, especially with first web space involvement and severe burns. Early risk stratification enables targeted surveillance and intervention, and may help improve patient outcomes. These findings apply to palms resurfaced with thin split-thickness skin grafts; the uniform protocol did not allow comparison with full-thickness or glabrous grafts, which remain alternative options.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.