Primary surgical management of the deeply burned hand in children.
Primary burn excision with immediate wound closure by skin grafting was used as the initial definitive treatment for deep burns of the hand in 30 consecutive  children. The results are compared with an additional group of 30 children whose burns were treated with AgNO3 alone. There is a significant difference in all categories examined between the excised and the nonexcised group. Hand deformities, secondary reconstructive procedures, and morbidity  were significantly reduced in the excised group. Excision provided improved functional and cosmetic results.
D000293:Adolescent; D000367:Age Factors; D000891:Anti-Infective Agents, Local / Q000627:therapeutic use; D002056:Burns / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D006230:Hand Injuries / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D006801:Humans; D007223:Infant; D008297:Male; D012835:Silver Nitrate / Q000627:therapeutic use; D013518:Surgery, Plastic
D000891:Anti-Infective Agents, Local; D012835:Silver Nitrate