title: Biosynthetic compound dressings--management of hand burns.
abstract: To achieve optimal hand function, wound closure becomes the most important ingredient in hand burns. This study documents the use of a biosynthetic compound dressing (Biobrane) which has been fabricated as a glove for management of hand burns. The glove allowed rapid active motion and minimized the pain of open wounds. Forty-two Biobrane glove applications were evaluated with 50 per cent applied over superficial hand burns and 50 per cent over deep partial thickness or full thickness injuries. In the superficial hand burns, the patients were discharged home after a mean time of 2.8 days. With the deep burns the dressing provided a closed wound after early excision of eschar without the use of an autograft or biological dressing. Based on these studies, we conclude that the biosynthetic compound dressing glove is a useful adjunct to be added to the armamentarium for treatment of the burned hand.
authors.affiliation: Division of Plastic and Reconstructive Surgery, Wayne State University School of Medicine, Detroit, Michigan.
authors.forename: D J
authors.initials: DJ
authors.lastname: Smith
authors.forename: T P
authors.initials: TP
authors.lastname: McHugh
authors.forename: L G
authors.initials: LG
authors.lastname: Phillips
authors.forename: M C
authors.initials: MC
authors.lastname: Robson
authors.forename: J P
authors.initials: JP
authors.lastname: Heggers
mesh_terms: D001672:Biocompatible Materials / Q000627:therapeutic use*; D002056:Burns / Q000628:therapy*; D020099:Coated Materials, Biocompatible; D003362:Cost-Benefit Analysis; D006230:Hand Injuries / Q000628:therapy*; D006801:Humans; D009779:Occlusive Dressings; D014945:Wound Healing
chemical_list: C042816:Biobrane; D001672:Biocompatible Materials; D020099:Coated Materials, Biocompatible