Table 1 Summary of outcome in included studies
From: Perforator-based flaps for the treatment of burn scar contractures: a review
Study | Mean follow-up (range) | Short-term follow-up | Long-term follow-up | Statistical analysis | |||
|---|---|---|---|---|---|---|---|
Necrosis flap (%) | ROM measurement | Increase in ROM (preop → postop) | Increase in flap size | Outcome measures validated? | |||
Ogawa [11] | 5 years (1–8) | 5/32 (16%) partial | – | – | – | – | No |
Er [9] | Not mentioned | 0/15 (0%) | Shoulder abduction | 112° (47 → 159) | – | Goniometry: retrospective chart review | No |
Tsai [17] | 11 months | 0/40 (0%) | Neck extension | 24° (92 → 116) | 15–38% ↑ flap width at 11 months | Geometry/planimetry | No |
Lateral flexion | 10° (26 → 36) | ||||||
Ogawa [16] | Not mentioned | 4/41 (10%) partial | – | – | – | – | No |
1/41 (2%) complete | |||||||
Rashid [12] | 22 months (12–48) | 2/27 (7%) epidermiolysis | – | – | 63% ↑ flap width at 1 year | Geometry/planimetry | No |
Waterston [18] | 9 months (2–60) | 1/23 (4%) complete | – | – | Stretching of flap was observed | – | No |
Verhaegen [14] | 8 months (3–14) | 4/22 (18%) partial | – | – | 16% ↑ flap surface area at 8 months | Planimetry | Yes |
Tucker [13] | Not mentioned | 3/22 (14%) partial | – | – | – | – | No |
Wang [15] | Not mentioned (range 1–5 years) | 0/15 (0%) | Neck extension and lateral flexion compared to normal ROM | Postoperative extension and lateral flexion not significantly differing from normal ROM | – | Flap geometry, measurement of cervical motion (Photo Measures software) | Yes |
Li [10] | >1 year | 1/15 (7%) partial | Neck extension | Neck extension >110° in all patients | – | Goniometry | No |