The Acutely Burned Hand: Management and Outcome Based on a Ten-Year Experience with 1047 Acute Hand Burns
Optimal hand function has a very positive impact on the quality of survival after burn injury. Over a 10-year period, 659 patients with 1047 acutely burned hands were managed at the Summer Redstone Burn Center of the Massachusetts General Hospital. Our approach to acutely burned hands emphasizes ran...
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| Veröffentlicht in: | The Journal of Trauma: Injury, Infection, and Critical Care Infection, and Critical Care, 1995-03, Vol.38 (3), p.406-411 |
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| container_end_page | 411 |
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| container_issue | 3 |
| container_start_page | 406 |
| container_title | The Journal of Trauma: Injury, Infection, and Critical Care |
| container_volume | 38 |
| creator | Sheridan, Robert L. Hurley, Jane Smith, Monica A. Ryan, Colleen M. Bondoc, Conrado C. Quinby, William C. Tompkins, Ronald G. Burke, John F. |
| description | Optimal hand function has a very positive impact on the quality of survival after burn injury. Over a 10-year period, 659 patients with 1047 acutely burned hands were managed at the Summer Redstone Burn Center of the Massachusetts General Hospital. Our approach to acutely burned hands emphasizes ranging and splinting throughout hospitalization, prompt sheet autograft wound closure as soon as practical, and the selective use of axial pin fixation and flaps. This approach is associated with normal function in 97% of those with superficial injuries and 81% of those with deep dermal and full-thickness injuries requiring surgery. Although only 9% of those with injuries involving the extensor mechanism, joint capsule, or bone had normal functional outcomes, 90% were able to independently perform activities of daily living. |
| doi_str_mv | 10.1097/00005373-199503000-00022 |
| format | Article |
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Over a 10-year period, 659 patients with 1047 acutely burned hands were managed at the Summer Redstone Burn Center of the Massachusetts General Hospital. Our approach to acutely burned hands emphasizes ranging and splinting throughout hospitalization, prompt sheet autograft wound closure as soon as practical, and the selective use of axial pin fixation and flaps. This approach is associated with normal function in 97% of those with superficial injuries and 81% of those with deep dermal and full-thickness injuries requiring surgery. 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Over a 10-year period, 659 patients with 1047 acutely burned hands were managed at the Summer Redstone Burn Center of the Massachusetts General Hospital. Our approach to acutely burned hands emphasizes ranging and splinting throughout hospitalization, prompt sheet autograft wound closure as soon as practical, and the selective use of axial pin fixation and flaps. This approach is associated with normal function in 97% of those with superficial injuries and 81% of those with deep dermal and full-thickness injuries requiring surgery. Although only 9% of those with injuries involving the extensor mechanism, joint capsule, or bone had normal functional outcomes, 90% were able to independently perform activities of daily living.</description><subject>Acute Disease</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Burns</subject><subject>Burns - therapy</subject><subject>Child</subject><subject>Female</subject><subject>Hand Injuries - therapy</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Traumas. 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| identifier | ISSN: 0022-5282 |
| ispartof | The Journal of Trauma: Injury, Infection, and Critical Care, 1995-03, Vol.38 (3), p.406-411 |
| issn | 0022-5282 1529-8809 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_77187575 |
| source | MEDLINE; Journals@Ovid Complete |
| subjects | Acute Disease Adolescent Adult Aged Aged, 80 and over Biological and medical sciences Burns Burns - therapy Child Female Hand Injuries - therapy Humans Male Medical sciences Middle Aged Retrospective Studies Traumas. Diseases due to physical agents Treatment Outcome |
| title | The Acutely Burned Hand: Management and Outcome Based on a Ten-Year Experience with 1047 Acute Hand Burns |
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