title: Linear Hand Burn Contracture Release under Local Anesthesia without Tourniquet.
abstract: The objective of this report is to present a case of hand burn linear contracture release performed under local anesthesia. It also introduces the one-per-mil tumescent solution consisted of 0.2% lidocaine and 1:1.000.000 epinephrine as a local anesthesia formula, which has the potential of providing adequate anesthesia as well as hemostatic effect during surgery of the hand without tourniquet. The surgery was performed on a 19 year-old male patient with multiple thumb and fingers flexion linear contracture for 105 minutes without any obstacle. The patient did not complain any pain and discomfort during the procedure; while bloodless operative field was successfully achieved. At four-month follow up, the patient could fully extend his thumb, middle and ring finger, while the index was limited by 10° at the DIP joint. Overall, the patient was satisfied with the outcome.
authors.affiliation: 1 Division of Plastic Surgery, Department of Surgery, Cipto Mangunkusumo Hospital/Faculty of Medicine University of Indonesia, Jakarta, Indonesia.
authors.forename: Theddeus O H
authors.initials: TO
authors.lastname: Prasetyono
authors.affiliation: 1 Division of Plastic Surgery, Department of Surgery, Cipto Mangunkusumo Hospital/Faculty of Medicine University of Indonesia, Jakarta, Indonesia.
authors.forename: Astrid F
authors.initials: AF
authors.lastname: Koswara
mesh_terms: D000772:Anesthesia, Local / Q000379:methods*; D002056:Burns / Q000150:complications*; D003286:Contracture / Q000209:etiology / Q000601:surgery*; D005385:Fingers / Q000601:surgery*; D006230:Hand Injuries / Q000150:complications*; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage*; D008297:Male; D014111:Tourniquets; D055815:Young Adult
chemical_list: D008012:Lidocaine
keywords: Anesthesia; Burns; Contracture; Hand; Local