Special Care for Hand Burns Hassan S. Alttai | ||
Medical Journal of Babylon | ||
Article 1, Volume 11, Issue 1, March 2014, Pages 144-151 | ||
Author | ||
Hassan S. Alttai | ||
Abstract | ||
Background: Hand burns can be regarded as a small wound area with major potential for disability, and these burns require special efforts that begin from initial care, throughout the subsequent management to be continued with post-operative follow up which include scar modulation measures and rehabilitation. Objectives: To evaluate the special efforts used for management of hand burns mainly the early surgical excision and skin graft coverage and their effects on the final outcome in regard to; movements, scar formation and contracture points of view. Patients and Methods: We assigned 46 cases of different ages who sustained to hand burns, they were of deep second and third degree burns; wound healing, skin graft coverage and their effects on the final outcomes and function of hands as well as their scars were evaluated. Results: Of our 46 cases of hand burns ;38 cases were grafted with excellent results ,from both functional and cosmetic points of view were obtained as well as reduction of hospital stay. Minimal complications and less long term sequels. Conclusion: Hand burns need to be managed with special efforts that including initial care, splintage and early excision and coverage to preserve their pre-burn movement as much as possible with minimal post healing scar formation. | ||
Keywords | ||
Hand burn; early excision and graft; splinting of burn hand | ||
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