Treatment of burned hands.
One hundred and thirty-five cases of burned hands were reviewed retrospectively. These consisted of 80 acutely burned hands, and 55 burned contractures. Treatment for the acutely burned hands included initial plastic-bag coverage and early tangential excisions and skin graftings. No skin grafting was required for all the first-degree and some second-degree superficial burns while some second-degree, all third-degree and deep superficial burns required early tangential excisions and skin resurfacing. The results were invariable satisfactory. The burned contractures were classified into four categories: the mild type; the claw type; the severely distorted type and the mutilated type. Treatment for the mild types consisted of release and different forms of skin grafting, Z-plasties and local flap repairs. Distant flaps were required for the claw and severely distorted types whilst the mutilated type was treated by amputation. The operative techniques to achieve satisfactory functional restorations were discussed.
D000293:Adolescent; D000328:Adult; D000368:Aged; D044466:Asian People; D002056:Burns / Q000601:surgery / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D002681:China; D002921:Cicatrix / Q000473:pathology*; D003286:Contracture / Q000209:etiology / Q000601:surgery; D006230:Hand Injuries / Q000628:therapy*; D006801:Humans; D006984:Hypertrophy; D007223:Infant; D008875:Middle Aged; D012189:Retrospective Studies; D012867:Skin / Q000473:pathology; D014945:Wound Healing