Thermal injury to the hand: review of the literature (original) (raw)
2011, Annals of burns and fire disasters
This paper is a comprehensive review of hand burn injuries. The different classifications of thermal burns, out- and inpatient care, indications for escharotomies as well as surgical management, skin substitutes, and paediatric hand burns are thoroughly reviewed.
Related papers
Treatment of acute deep hand burn
Deep hand burns usually lead to joint and tendon exposure. A simple skin graft is insufficient to achieve healing. Soft tissue reconstruction represents a surgical challenge that ranges from the simplest to the most complex flaps. In some areas, microsurgery is not technically possible. Choice is then limited to pedicled distant flaps such as the abdominal wall flap-graft. We report a case of an acute burned hand with exposure of metacarpophalangeal joints from the second to the fourth radius as well as proximal inter phalangeal joints from the second to the fifth radius and extensor tendons, treated in the burns and wound care unit of the Sylvanus Olympio Teaching Hospital in Lomé. The dorsum hand and fingers were covered with a pedicled abdominal flap-graft that was severed in two stages at 22 and 29 days. We achieved good results (sensitivity S3+, useful aesthetic hand) at two-year follow up.
A preliminary report: The new protocol of managing acute partial-thickness hand burns
Proceedings of Singapore Healthcare, 2016
Background: Optimal hand function recovery is the key to the successful management of hand burns. It starts with a timely burns coverage in the acute setting. A new hand burns protocol has been introduced to cover hand burn wounds within 24 hours after admission. BiobraneTM and split skin graft (SSG) are the coverage methods for partial-thickness burns. A three-year prospective study is being carried out to evaluate the short- and long-term clinical and functional outcomes of the two treatment modalities. This paper reports the preliminary short-term results of the first 34 hand burns of the study. Methodology: This report includes consecutive hand burns patients admitted between September 2014 and May 2015. The recruited hand burns patients underwent clinical and functional assessments seven days after the coverage with either SSG or BiobraneTM. Statistical analysis was performed to evaluate the outcomes. Results and discussion: Eleven burnt hands were treated with SSG and 23 with ...
THIRD DEGREE BURN ON THE HAND: A TREATMENT OPTION – CASE REPORT (Atena Editora)
THIRD DEGREE BURN ON THE HAND: A TREATMENT OPTION – CASE REPORT (Atena Editora), 2024
A burn is an injury caused by an external agent that acts on the body covering tissue, which can cause partial or total loss of the affected tissue function. Agents can be thermal, chemical, electrical or radioactive. We report a case of a 49-year-old patient suffering from an electrical burn on the upper limb, who underwent reconstruction with a free flap after initial care for the injury. Free flaps are of great importance in the treatment of injuries with loss of substance in the hands, due to the possible scarcity of tissue that may occur in the region after extensive trauma, making regional flaps impossible. We noticed that the anterolateral thigh free flap fulfilled its role, providing good tissue coverage to the lesion, combined with a small morbidity in the donor area.
Medicina (Kaunas, Lithuania), 2009
Hands actively participate in daily activities of a human; therefore, hands are the most vulnerable parts of the human body. People injure hands so often because namely hands are in the closest position to the dangerous equipment. According to the data of various authors, the injuries of hands and fingers make even 30-75% of all industrial traumas, and burns of hands account for about 6% of all traumas of hands. The aim of the study was to compare the effectiveness of active surgical treatment method with conservative treatment method, applied for the treatment of deep dermal partial skin thickness burns of the hands, wrists, and forearms of distal third. A total of 49 patients with burned hands participated in the perspective study of random sample (totally 79 hands). All these patients were treated in the Department of Plastic and Reconstructive Surgery, Hospital of Kaunas University of Medicine, during the period of 2001-2005. The patients were assessed after 3, 6, and 12 months....
Loading Preview
Sorry, preview is currently unavailable. You can download the paper by clicking the button above.