{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T04:47:50Z","timestamp":1782362870944,"version":"3.54.5"},"reference-count":21,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore the factors influencing unplanned reoperation after surgery for severe finger scar contracture in children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The clinical data of children who underwent skin grafting for severe finger scar contracture at the burn and plastic surgery department of Anhui children\u2019s hospital from May 2015 to June 2019 were collected, including: etiology, age at surgery, defect area, presence of wound infection, and involvement of multiple joints. We divided the patients into the non-reoperation group (Group A) and the reoperation group (Group B).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 61 children were collected, including 42 boys and 19 girls, with a total of 93 fingers. Among them, 43 children had no repeat surgery, and 18 children had repeat surgery. The finger defect area in Group A was 1.31\u2009\u00b1\u20090.37 cm\n                      <jats:sup>2<\/jats:sup>\n                      , while in Group B, it was 2.24\u2009\u00b1\u20090.60 cm\n                      <jats:sup>2<\/jats:sup>\n                      . The time from wound healing in Group A was 8.43\u2009\u00b1\u20093.11 months, while in Group B, it was 13.67\u2009\u00b1\u20092.74 months. The number of joints crossed by the scar in Group A was 1.09\u2009\u00b1\u20090.29, and in Group B, it was 1.57\u2009\u00b1\u20090.68. There were significant differences between the two groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05). In multivariate logistic regression, the results showed that defect area (OR\u2009=\u200917.64, 95% CI: 2.36\u2212131.81,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.005) and time since the first surgery (OR\u2009=\u20091.39, 95% CI: 1.03-1.91,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.03) independently predicted the need for repeat surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The area of skin defect and the time from wound healing in finger scar contractures are independent factors influencing the need for reoperation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fped.2026.1850509","type":"journal-article","created":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T04:21:18Z","timestamp":1782361278000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Analysis of the factors influencing reoperation for severe finger scar contracture in children\u2014clinical data analysis of 61 children"],"prefix":"10.3389","volume":"14","author":[{"given":"Weiwei","family":"Qi","sequence":"first","affiliation":[{"name":"Department of Burn and Plastic Surgery, Anhui Provincial Children's Hospital","place":["Hefei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yinqiu","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Burn and Plastic Surgery, Anhui Provincial Children's Hospital","place":["Hefei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Burn and Plastic Surgery, Anhui Provincial Children's Hospital","place":["Hefei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Burn and Plastic Surgery, Anhui Provincial Children's Hospital","place":["Hefei, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,25]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1186\/s41038-016-0047-7","article-title":"Epidemiology of burns and scalds in children presenting to the emergency department of a regional burns unit: a 7-year retrospective study","volume":"4","author":"Battle","year":"2016","journal-title":"Burns Trauma"},{"key":"B2","doi-asserted-by":"publisher","first-page":"118","DOI":"10.32598\/jnrcp.23.97","article-title":"High rate of negligence induced burns in children: a rising cause for concern of the world's Burn community","volume":"2","author":"Takasi","year":"2024","journal-title":"JNRCP"},{"key":"B3","doi-asserted-by":"publisher","first-page":"371","DOI":"10.3760\/cma.j.issn.1009-2587.2019.05.009","article-title":"Systematic review of physical and psychosocial problems of burned children aged 5 years and below after discharge","volume":"35","author":"Sun","year":"2019","journal-title":"Zhonghua Shao Shang Za Zhi"},{"key":"B4","doi-asserted-by":"publisher","first-page":"955","DOI":"10.1093\/jbcr\/irac174","article-title":"A single Institution's Recent experience with pediatric hand burns","volume":"44","author":"Nolan","year":"2023","journal-title":"J Burn Care Res"},{"key":"B5","doi-asserted-by":"publisher","first-page":"S200","DOI":"10.1093\/jbcr\/iraa024.320","article-title":"737 Treadmill friction hand injuries in the pediatric patient","volume":"41","author":"Abbas","year":"2020","journal-title":"J Burn Care Res"},{"key":"B6","doi-asserted-by":"publisher","first-page":"606","DOI":"10.1097\/BCR.0b013e31817db8e1","article-title":"Contractures in burn injury part II: investigating joints of the hand","volume":"29","author":"Schneider","year":"2008","journal-title":"J Burn Care Res"},{"key":"B7","doi-asserted-by":"publisher","first-page":"e136","DOI":"10.1097\/BCR.0000000000000149","article-title":"Refining the idiom \u201cfunctional range of motion\u201d related to burn recovery","volume":"36","author":"Korp","year":"2015","journal-title":"J Burn Care Res"},{"key":"B8","doi-asserted-by":"publisher","first-page":"663","DOI":"10.1016\/j.burns.2006.02.009","article-title":"An algorithm for the release of burn contractures of the extremities","volume":"32","author":"Hudson","year":"2006","journal-title":"Burns"},{"key":"B9","doi-asserted-by":"publisher","first-page":"1387","DOI":"10.12669\/pjms.36.6.2206","article-title":"Surgical management of post burn hand deformities","volume":"36","author":"Kumar","year":"2020","journal-title":"Pak J Med Sci"},{"key":"B10","first-page":"192","article-title":"Algorithms for management of post-burn contracture in upper extremity in children","volume":"34","author":"Terziqi","year":"2021","journal-title":"Ann Burns Fire Disasters"},{"key":"B11","doi-asserted-by":"publisher","first-page":"867","DOI":"10.1097\/BCR.0b013e3181b48610","article-title":"Full-thickness vs split-skin grafting in pediatric hand burns\u2013a 10-year review of 174 cases","volume":"30","author":"Chandrasegaram","year":"2009","journal-title":"J Burn Care Res"},{"key":"B12","doi-asserted-by":"publisher","first-page":"616","DOI":"10.1097\/BCR.0b013e3181ac0298","article-title":"Campfire burns of the palms in crawling infants in Saudi Arabia: results following release and graft of contractures","volume":"30","author":"Al-Qattan","year":"2009","journal-title":"J Burn Care Res"},{"key":"B13","doi-asserted-by":"publisher","first-page":"e411","DOI":"10.1097\/SCS.0000000000009149","article-title":"Prognostic analysis of skin scar loosening and tissue-expansive autologous skin grafting in the treatment of skin postburn scars","volume":"34","author":"Zhang","year":"2022","journal-title":"J Craniofac Surg"},{"key":"B14","doi-asserted-by":"publisher","first-page":"558","DOI":"10.1097\/00000658-199904000-00016","article-title":"Acute hand burns in children: management and long-term outcome based on a 10-year experience with 698 injured hands","volume":"229","author":"Sheridan","year":"1999","journal-title":"Ann Surg"},{"key":"B15","doi-asserted-by":"publisher","first-page":"1516","DOI":"10.3390\/jcm13051516","article-title":"Management of scar contractures of the hand-our therapeutic strategy and challenges","volume":"13","author":"Cho","year":"2024","journal-title":"J Clin Med"},{"key":"B16","first-page":"83","article-title":"Retrospective analysis of factors affecting the efficacy of surgical treatment of the scar","volume":"69","author":"Yang","year":"2014","journal-title":"Minerva Chir"},{"key":"B17","doi-asserted-by":"publisher","first-page":"e66806","DOI":"10.7759\/cureus.66806","article-title":"A comparative analysis of the advances in scar reduction: techniques, technologies, and efficacy in plastic surgery","volume":"16","author":"Meretsky","year":"2024","journal-title":"Cureus"},{"key":"B18","first-page":"33","article-title":"Keloids: a review of etiology, prevention, and treatment","volume":"13","author":"Betarbet","year":"2020","journal-title":"J Clin Aesthet Dermatol"},{"key":"B19","doi-asserted-by":"publisher","first-page":"1635","DOI":"10.1016\/j.bjps.2011.07.006","article-title":"Risk factors of tissue-expansion failure in burn-scar reconstruction","volume":"64","author":"Yeong","year":"2011","journal-title":"J Plast Reconstr Aes"},{"key":"B20","doi-asserted-by":"publisher","first-page":"S74","DOI":"10.1093\/jbcr\/iraa024.114","article-title":"111 Predicting restoration of joint function in the contracted burned hand: the benefit of the soft tissue to skeletal ratio","volume":"41","author":"Simpson","year":"2020","journal-title":"J Burn Care Res"},{"key":"B21","doi-asserted-by":"publisher","first-page":"3945","DOI":"10.1007\/s00266-024-04131-w","article-title":"Effectiveness of autologous fat grafting in the treatment of scars: a systematic review and meta-analysis","volume":"48","author":"Abu Alqam","year":"2024","journal-title":"Aesthet Plast Surg"}],"container-title":["Frontiers in Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2026.1850509\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T04:21:19Z","timestamp":1782361279000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2026.1850509\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,25]]},"references-count":21,"alternative-id":["10.3389\/fped.2026.1850509"],"URL":"https:\/\/doi.org\/10.3389\/fped.2026.1850509","relation":{},"ISSN":["2296-2360"],"issn-type":[{"value":"2296-2360","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,25]]},"article-number":"1850509"}}