title: Acute surgical management of hand burns.
abstract: A hand represents 3% of the total body surface area. The hands are involved in close to 80% of all burns. The potential morbidity associated with hand burns can be substantial. Imagine a patient carrying a pan of flaming cooking oil to the doorway or someone lighting a room-sized pile of leaves and branches doused with gasoline. It is clear how the hands are at risk in these common scenarios. Not all burn injuries will require surgical intervention. Recognizing the need for surgery is paramount to achieving good functional outcomes for the burned hand. The gray area between second- and third-degree burns tests the skill and experience of every burn/hand surgeon. Skin anatomy and the size of injury dictate the surgical technique used to close the burn wound. In addition to meticulous surgical technique, preoperative and postoperative hand therapy for the burned hand is essential for a good functional outcome. Recognizing the burn depth is paramount to developing the appropriate treatment plan for any burn injury. This skill requires experience and practice. In this article, we present an approach to second- and third-degree hand burns.
authors.affiliation: Department of Acute Care Surgery, University of Florida at Shands Medical Center, Gainesville, FL; Department of Surgical Critical Care, University of Florida at Shands Medical Center, Gainesville, FL; Department of Plastic and Reconstructive Surgery, University of Florida at Shands Medical Center, Gainesville, FL; Department of Physical and Occupational Therapy, Shands Medical Center, Gainesville, FL. Electronic address: Winston.richards@surgery.ufl.edu.
authors.forename: Winston T
authors.initials: WT
authors.lastname: Richards
authors.affiliation: Department of Acute Care Surgery, University of Florida at Shands Medical Center, Gainesville, FL; Department of Surgical Critical Care, University of Florida at Shands Medical Center, Gainesville, FL; Department of Plastic and Reconstructive Surgery, University of Florida at Shands Medical Center, Gainesville, FL; Department of Physical and Occupational Therapy, Shands Medical Center, Gainesville, FL.
authors.forename: Edward
authors.initials: E
authors.lastname: Vergara
authors.affiliation: Department of Acute Care Surgery, University of Florida at Shands Medical Center, Gainesville, FL; Department of Surgical Critical Care, University of Florida at Shands Medical Center, Gainesville, FL; Department of Plastic and Reconstructive Surgery, University of Florida at Shands Medical Center, Gainesville, FL; Department of Physical and Occupational Therapy, Shands Medical Center, Gainesville, FL.
authors.forename: Dawood G
authors.initials: DG
authors.lastname: Dalaly
authors.affiliation: Department of Acute Care Surgery, University of Florida at Shands Medical Center, Gainesville, FL; Department of Surgical Critical Care, University of Florida at Shands Medical Center, Gainesville, FL; Department of Plastic and Reconstructive Surgery, University of Florida at Shands Medical Center, Gainesville, FL; Department of Physical and Occupational Therapy, Shands Medical Center, Gainesville, FL.
authors.forename: Loretta
authors.initials: L
authors.lastname: Coady-Fariborzian
authors.affiliation: Department of Acute Care Surgery, University of Florida at Shands Medical Center, Gainesville, FL; Department of Surgical Critical Care, University of Florida at Shands Medical Center, Gainesville, FL; Department of Plastic and Reconstructive Surgery, University of Florida at Shands Medical Center, Gainesville, FL; Department of Physical and Occupational Therapy, Shands Medical Center, Gainesville, FL.
authors.forename: David W
authors.initials: DW
authors.lastname: Mozingo
mesh_terms: D001458:Bandages; D002056:Burns / Q000601:surgery* / Q000628:therapy; D006230:Hand Injuries / Q000601:surgery* / Q000628:therapy; D006801:Humans; D016038:Skin Transplantation; D017768:Skin, Artificial; D014945:Wound Healing
keywords: Burn; acute; hand; injury; surgery