title: The acutely burned hand: management and outcome based on a ten-year experience with 1047 acute hand burns.
abstract: Optimal hand function has a very positive impact on the quality of survival after burn injury. Over a 10-year period, 659 patients with 1047 acutely burned hands were managed at the Sumner Redstone Burn Center of the Massachusetts General Hospital. Our approach to acutely burned hands emphasizes ranging and splinting throughout hospitalization, prompt sheet autograft wound closure as soon as practical, and the selective use of axial pin fixation and flaps. This approach is associated with normal function in 97% of those with superficial injuries and 81% of those with deep dermal and full-thickness injuries requiring surgery. Although only 9% of those with injuries involving the extensor mechanism, joint capsule, or bone had normal functional outcomes, 90% were able to independently perform activities of daily living.
authors.affiliation: Shriners Burns Institute, Boston, MA 02114, USA.
authors.forename: R L
authors.initials: RL
authors.lastname: Sheridan
authors.forename: J
authors.initials: J
authors.lastname: Hurley
authors.forename: M A
authors.initials: MA
authors.lastname: Smith
authors.forename: C M
authors.initials: CM
authors.lastname: Ryan
authors.forename: C C
authors.initials: CC
authors.lastname: Bondoc
authors.forename: W C
authors.initials: WC
authors.lastname: Quinby
authors.forename: R G
authors.initials: RG
authors.lastname: Tompkins
authors.forename: J F
authors.initials: JF
authors.lastname: Burke
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002056:Burns / Q000628:therapy*; D002648:Child; D005260:Female; D006230:Hand Injuries / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome