[Therapeutic possibilities in hand burns].
Four methods of treating the burned hand are possible: conservative treatment of superficial dermal burns, tangential excision and immediate grafting of deep dermal and barely full thickness burns, granulation method with late grafting of deep dermal to deep full thickness burns, flap procedures of full thickness burns. The tangential excision and grafting of deep dermal and barely third degree burns has improved the well being of the patient by good functional and cosmetic results, less hospitalization time (10-14 days) and less pain. The procedure is described. Tangential excision is contraindicated in the very deep burn. In these the growth of granulations or in certain cases the application of skinflaps will produce better results. Important as to the result is the aftercare consisting of compression gloves and physiotherapy. Even with progress the deep burn remains a devastating injury to the delicately operating hand. Nevertheless the appropriate therapy can achieve good results.
Künzi
W
W
Zellweger
G
G
D002056:Burns / Q000601:surgery*; D062109:Dermatologic Surgical Procedures; D006225:Hand / Q000601:surgery; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D013524:Surgical Flaps
Therapie-Möglichkeiten bei Verbrennungen der Hand.