634 Use and Benefits of Using Acrylic Splints Inside the Pressotherapy Glove in Pediatric Burned Hands, Six Years Retrospective Review

Abstract

Introduction Burns children’s hands in special care areas. This report describes 1. how to handle using acrylic splints burned hands in pressotherapy gloves and 2. how to make splints using cuts and remaining parts of the face acrylic splints. The hand splints offer comfort, long-lasting, and full fit and produce full passive stretching of the scar During the maturation period. This splints are easy to be handled by parents. Methods We developed splints were to be placed inside gloves. For this process and given the selected material, it was agreed with the seamstress that the glove as appropriate, We have developed an alternative method of using the material. The splints are constructed as follows: 1. It′s purchase in sheets, although the cuts or parts that are face masks with acrylic reused.2.To copy the mold wax pencil is required. 3. To mold hot air gun is required. 4. It is easy to wash and sand to the finish. Results A pilot trial of 40 splints was undertaken and once it was deemed safe to use it became our practice. Over the last 6 years, 486 acrylic splints have been fabricated and utilized in over 210 surgical cases to address splint needs for the hand. This technique with acrylic is used as a material available for making face masks which minimizes costs. The use of splints inside the glove allows full adjustment over the scar counteracting the forces of retraction of these scars and also at a palmar and digital level. With the use of splints parents said there is a best period of adaptation of children and they do not remove them. Conclusions Acrylic with silicone is lightweight and flexible, being comfortable for children to use inside the glove. It is used especially in evening hours, but can also be used in the day, in any case accompany the use of the splint with a strengthening program, tactile desensitization and manual stretching to prevent muscle atrophy and deconditioning. For molding the acrylic, gloves and hot air gun are needed to cut more easily and thus give the required angulation required in each case. Care should be taken strictly using acrylic splints to prevent compressive neuropathies. It should be checked rigorously usage time of the splints during the first week review possible areas of pressure on edges, inside the glove, to prevent secondary complications. Applicability of Research to Practice