Treatment of fourth-degree hand burns
Fourth-degree hand burns are rare but devastating injuries. They cannot be grafted readily but often require flaps and amputation, and impairment is significant. We report our 10-year experience (1981 to 1990) with deep hand burns to characterize our treatment and outcome. A total of 25 patients (35...
Gespeichert in:
| Veröffentlicht in: | Journal of burn care & rehabilitation 1995, Vol.16 (1), p.36-42 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 42 |
|---|---|
| container_issue | 1 |
| container_start_page | 36 |
| container_title | Journal of burn care & rehabilitation |
| container_volume | 16 |
| creator | NUCHTERN, J. G ENGRAV, L. H NAKAMURA, D. Y DUTCHER, K. A HEIMBACH, D. M VEDDER, N. B |
| description | Fourth-degree hand burns are rare but devastating injuries. They cannot be grafted readily but often require flaps and amputation, and impairment is significant. We report our 10-year experience (1981 to 1990) with deep hand burns to characterize our treatment and outcome. A total of 25 patients (35 hands) were treated. Eight local flaps, nine distant flaps, and two free-tissue transfers were performed. Eleven hands were treated with K-wire immobilization and grafting. Thirty-three amputations were done. Postburn function was evaluated in 25 salvaged hands. Eleven hands had good outcomes, whereas seven had moderate sequelae and seven were severely affected. Patients who were treated with flap coverage of exposed tendons and joints had better functional outcomes than those treated with delayed closure with immobilization and grafting. The excellent outcomes in the flap coverage group justifies the added commitment of technical and therapeutic resources that this treatment requires. |
| doi_str_mv | 10.1097/00004630-199501000-00007 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_77229745</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>77229745</sourcerecordid><originalsourceid>FETCH-LOGICAL-c283t-f8b3738cfafd7efd5ff92e9fb3257795b6a7bd69c25e1a06c9c756f3b03481f43</originalsourceid><addsrcrecordid>eNo9UMtOwzAQtBColMInIOUA3Ax-ZuMjqnhJlbiUs2U7Ni3Ko9jJgb_HpaF7We3OzO5oECoouadEwQPJJUpOMFVKEponvF_BCZpTyQWWiqtTNCcMOK5ERc_RRUpfhFAFpZyhGQCjisAc3a6jN0Pru6HoQxH6MQ4bXPvP6H2xMV1d2DF26RKdBdMkfzX1Bfp4flovX_Hq_eVt-bjCjlV8wKGyHHjlggk1-FDLEBTzKljOJICStjRg61I5Jj01pHTKgSwDt4Rnj0HwBbo73N3F_nv0adDtNjnfNKbz_Zh0ts0UCJmJ1YHoYp9S9EHv4rY18UdTovcJ6f-E9DGhvxVk6fX0Y7Str4_CKZKM30y4Sc40IZrObdORxgUVQnH-C3MJbJ8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>77229745</pqid></control><display><type>article</type><title>Treatment of fourth-degree hand burns</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><source>Journals@Ovid Complete</source><creator>NUCHTERN, J. G ; ENGRAV, L. H ; NAKAMURA, D. Y ; DUTCHER, K. A ; HEIMBACH, D. M ; VEDDER, N. B</creator><creatorcontrib>NUCHTERN, J. G ; ENGRAV, L. H ; NAKAMURA, D. Y ; DUTCHER, K. A ; HEIMBACH, D. M ; VEDDER, N. B</creatorcontrib><description>Fourth-degree hand burns are rare but devastating injuries. They cannot be grafted readily but often require flaps and amputation, and impairment is significant. We report our 10-year experience (1981 to 1990) with deep hand burns to characterize our treatment and outcome. A total of 25 patients (35 hands) were treated. Eight local flaps, nine distant flaps, and two free-tissue transfers were performed. Eleven hands were treated with K-wire immobilization and grafting. Thirty-three amputations were done. Postburn function was evaluated in 25 salvaged hands. Eleven hands had good outcomes, whereas seven had moderate sequelae and seven were severely affected. Patients who were treated with flap coverage of exposed tendons and joints had better functional outcomes than those treated with delayed closure with immobilization and grafting. The excellent outcomes in the flap coverage group justifies the added commitment of technical and therapeutic resources that this treatment requires.</description><identifier>ISSN: 0273-8481</identifier><identifier>EISSN: 1534-5939</identifier><identifier>DOI: 10.1097/00004630-199501000-00007</identifier><identifier>PMID: 7721907</identifier><identifier>CODEN: JBCRD2</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Adult ; Aged ; Algorithms ; Amputation ; Biological and medical sciences ; Burns - pathology ; Burns - surgery ; Child, Preschool ; Female ; Hand Injuries - pathology ; Hand Injuries - surgery ; Humans ; Immobilization ; Infant ; Injuries of the skin. Diseases of the skin due to physical agents ; Male ; Medical sciences ; Middle Aged ; Skin Transplantation ; Surgical Flaps ; Traumas. Diseases due to physical agents ; Treatment Outcome</subject><ispartof>Journal of burn care & rehabilitation, 1995, Vol.16 (1), p.36-42</ispartof><rights>1995 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c283t-f8b3738cfafd7efd5ff92e9fb3257795b6a7bd69c25e1a06c9c756f3b03481f43</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3414493$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7721907$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>NUCHTERN, J. G</creatorcontrib><creatorcontrib>ENGRAV, L. H</creatorcontrib><creatorcontrib>NAKAMURA, D. Y</creatorcontrib><creatorcontrib>DUTCHER, K. A</creatorcontrib><creatorcontrib>HEIMBACH, D. M</creatorcontrib><creatorcontrib>VEDDER, N. B</creatorcontrib><title>Treatment of fourth-degree hand burns</title><title>Journal of burn care & rehabilitation</title><addtitle>J Burn Care Rehabil</addtitle><description>Fourth-degree hand burns are rare but devastating injuries. They cannot be grafted readily but often require flaps and amputation, and impairment is significant. We report our 10-year experience (1981 to 1990) with deep hand burns to characterize our treatment and outcome. A total of 25 patients (35 hands) were treated. Eight local flaps, nine distant flaps, and two free-tissue transfers were performed. Eleven hands were treated with K-wire immobilization and grafting. Thirty-three amputations were done. Postburn function was evaluated in 25 salvaged hands. Eleven hands had good outcomes, whereas seven had moderate sequelae and seven were severely affected. Patients who were treated with flap coverage of exposed tendons and joints had better functional outcomes than those treated with delayed closure with immobilization and grafting. The excellent outcomes in the flap coverage group justifies the added commitment of technical and therapeutic resources that this treatment requires.</description><subject>Adult</subject><subject>Aged</subject><subject>Algorithms</subject><subject>Amputation</subject><subject>Biological and medical sciences</subject><subject>Burns - pathology</subject><subject>Burns - surgery</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Hand Injuries - pathology</subject><subject>Hand Injuries - surgery</subject><subject>Humans</subject><subject>Immobilization</subject><subject>Infant</subject><subject>Injuries of the skin. Diseases of the skin due to physical agents</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Skin Transplantation</subject><subject>Surgical Flaps</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Treatment Outcome</subject><issn>0273-8481</issn><issn>1534-5939</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9UMtOwzAQtBColMInIOUA3Ax-ZuMjqnhJlbiUs2U7Ni3Ko9jJgb_HpaF7We3OzO5oECoouadEwQPJJUpOMFVKEponvF_BCZpTyQWWiqtTNCcMOK5ERc_RRUpfhFAFpZyhGQCjisAc3a6jN0Pru6HoQxH6MQ4bXPvP6H2xMV1d2DF26RKdBdMkfzX1Bfp4flovX_Hq_eVt-bjCjlV8wKGyHHjlggk1-FDLEBTzKljOJICStjRg61I5Jj01pHTKgSwDt4Rnj0HwBbo73N3F_nv0adDtNjnfNKbz_Zh0ts0UCJmJ1YHoYp9S9EHv4rY18UdTovcJ6f-E9DGhvxVk6fX0Y7Str4_CKZKM30y4Sc40IZrObdORxgUVQnH-C3MJbJ8</recordid><startdate>1995</startdate><enddate>1995</enddate><creator>NUCHTERN, J. G</creator><creator>ENGRAV, L. H</creator><creator>NAKAMURA, D. Y</creator><creator>DUTCHER, K. A</creator><creator>HEIMBACH, D. M</creator><creator>VEDDER, N. B</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1995</creationdate><title>Treatment of fourth-degree hand burns</title><author>NUCHTERN, J. G ; ENGRAV, L. H ; NAKAMURA, D. Y ; DUTCHER, K. A ; HEIMBACH, D. M ; VEDDER, N. B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c283t-f8b3738cfafd7efd5ff92e9fb3257795b6a7bd69c25e1a06c9c756f3b03481f43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Algorithms</topic><topic>Amputation</topic><topic>Biological and medical sciences</topic><topic>Burns - pathology</topic><topic>Burns - surgery</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Hand Injuries - pathology</topic><topic>Hand Injuries - surgery</topic><topic>Humans</topic><topic>Immobilization</topic><topic>Infant</topic><topic>Injuries of the skin. Diseases of the skin due to physical agents</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Skin Transplantation</topic><topic>Surgical Flaps</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>NUCHTERN, J. G</creatorcontrib><creatorcontrib>ENGRAV, L. H</creatorcontrib><creatorcontrib>NAKAMURA, D. Y</creatorcontrib><creatorcontrib>DUTCHER, K. A</creatorcontrib><creatorcontrib>HEIMBACH, D. M</creatorcontrib><creatorcontrib>VEDDER, N. B</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of burn care & rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>NUCHTERN, J. G</au><au>ENGRAV, L. H</au><au>NAKAMURA, D. Y</au><au>DUTCHER, K. A</au><au>HEIMBACH, D. M</au><au>VEDDER, N. B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of fourth-degree hand burns</atitle><jtitle>Journal of burn care & rehabilitation</jtitle><addtitle>J Burn Care Rehabil</addtitle><date>1995</date><risdate>1995</risdate><volume>16</volume><issue>1</issue><spage>36</spage><epage>42</epage><pages>36-42</pages><issn>0273-8481</issn><eissn>1534-5939</eissn><coden>JBCRD2</coden><abstract>Fourth-degree hand burns are rare but devastating injuries. They cannot be grafted readily but often require flaps and amputation, and impairment is significant. We report our 10-year experience (1981 to 1990) with deep hand burns to characterize our treatment and outcome. A total of 25 patients (35 hands) were treated. Eight local flaps, nine distant flaps, and two free-tissue transfers were performed. Eleven hands were treated with K-wire immobilization and grafting. Thirty-three amputations were done. Postburn function was evaluated in 25 salvaged hands. Eleven hands had good outcomes, whereas seven had moderate sequelae and seven were severely affected. Patients who were treated with flap coverage of exposed tendons and joints had better functional outcomes than those treated with delayed closure with immobilization and grafting. The excellent outcomes in the flap coverage group justifies the added commitment of technical and therapeutic resources that this treatment requires.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>7721907</pmid><doi>10.1097/00004630-199501000-00007</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0273-8481 |
| ispartof | Journal of burn care & rehabilitation, 1995, Vol.16 (1), p.36-42 |
| issn | 0273-8481 1534-5939 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_77229745 |
| source | MEDLINE; Alma/SFX Local Collection; Journals@Ovid Complete |
| subjects | Adult Aged Algorithms Amputation Biological and medical sciences Burns - pathology Burns - surgery Child, Preschool Female Hand Injuries - pathology Hand Injuries - surgery Humans Immobilization Infant Injuries of the skin. Diseases of the skin due to physical agents Male Medical sciences Middle Aged Skin Transplantation Surgical Flaps Traumas. Diseases due to physical agents Treatment Outcome |
| title | Treatment of fourth-degree hand burns |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-04T04%3A09%3A26IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Treatment%20of%20fourth-degree%20hand%20burns&rft.jtitle=Journal%20of%20burn%20care%20&%20rehabilitation&rft.au=NUCHTERN,%20J.%20G&rft.date=1995&rft.volume=16&rft.issue=1&rft.spage=36&rft.epage=42&rft.pages=36-42&rft.issn=0273-8481&rft.eissn=1534-5939&rft.coden=JBCRD2&rft_id=info:doi/10.1097/00004630-199501000-00007&rft_dat=%3Cproquest_cross%3E77229745%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=77229745&rft_id=info:pmid/7721907&rfr_iscdi=true |