[Treatment of hand burns].
Although burn injuries of the hand only account for approximately 2.5-3% of the total body surface area (TBSA), they are of great importance due to functional outcome, appearance and economic aspects. Initial treatment and diagnosis are important factors, which influence the further course of thermal injuries of the hand and which are found in up to 80% of treated burn injuries. Early decision-making is necessary if escharotomy or skin grafting is indicated. After preliminary evaluation and wound management a differentiation between non-surgical and surgical procedures is necessary. In the case of full thickness thermal injuries, debridement and skin grafting should be carried out. Further interdisciplinary management involves different professional groups as surgeons and physical therapists. Fitting pressure garments and treatment of scar formation are integral parts of the successful rehabilitation of hand burns.
Siemers
F
F
Plastische Chirurgie, Handchirurgie, Intensiveinheit für Schwerbrandverletzte, Campus Lübeck, Universitätsklinikum Schleswig-Holstein, Ratzeburger Allee 160, 23538, Lübeck. f.siemers@gmx.de
Mailänder
P
P
D002056:Burns / Q000628:therapy*; D006230:Hand Injuries / Q000628:therapy*; D006801:Humans; D016038:Skin Transplantation / Q000295:instrumentation* / Q000379:methods*