title: Reconstruction of the Adult and Pediatric Burned Hand.
abstract: Thermal injuries of the hand can have a great impact on function. Initial treatment should focus on the prevention of contracture through the use of tissue-sparing techniques and optimized occupational therapy. Surgical intervention should follow the standard reconstructive ladder and can involve several techniques from simple to complex including minimally invasive techniques, such as laser and steroid injection, contracture release and skin grafting, and local tissue rearrangement and regional flaps as well as distant pedicled and free flaps. Reconstructive surgery of the hand, when performed well, can lead to meaningful functional improvement in severe burns.
authors.affiliation: Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Boston, MA 02114, USA.
authors.forename: Ryan P
authors.initials: RP
authors.lastname: Cauley
authors.affiliation: Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Boston, MA 02114, USA.
authors.forename: Lydia A
authors.initials: LA
authors.lastname: Helliwell
authors.affiliation: Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Boston, MA 02114, USA; Plastic and Reconstructive Surgery, Shriner's Hospital for Children, 51 Blossom Street, Boston, MA 02114, USA.
authors.forename: Matthias B
authors.initials: MB
authors.lastname: Donelan
authors.affiliation: Plastic and Reconstructive Surgery, Shriner's Hospital for Children, 51 Blossom Street, Boston, MA 02114, USA; MGH Hand Surgery Fellowship, Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Boston, MA 02114, USA. Electronic address: keberlin@mgh.harvard.edu.
authors.forename: Kyle R
authors.initials: KR
authors.lastname: Eberlin
mesh_terms: D000328:Adult; D002056:Burns / Q000601:surgery*; D002648:Child; D003286:Contracture / Q000601:surgery*; D006227:Hand Deformities, Acquired / Q000601:surgery*; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation; D013524:Surgical Flaps
keywords: Burns; Hand surgery; Locoregional flaps; Reconstruction; Skin grafting