Acute and Reconstructive Care of the Burned Hand

Culnan, Derek M.; Čapek, Karel; Huang, Ted; Lineaweaver, William C.

doi:10.1016/b978-0-323-47661-4.00054-x

Cited by 5 publications

(10 citation statements)

References 37 publications

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“…Descritores: Queimaduras; Contratura; Amputação; Procedimentos cirúrgicos reconstruti-vos; Cirurgia plástica. 1 Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil.…”

Section: ■ Resumounclassified

“…A mão é um instrumento primário de comunicação, estética, emoção e sexualidade. Ela é acometida em até 80% dos casos em grandes queimados, acarretando em perda da capacidade laboral e sequelas psicossociais graves 1 . Devido à alta suscetibilidade em absorver traumas, geralmente as queimaduras nas mãos levam à absorção de grades quantidades de energia, o que acarreta lesões graves, sobretudo nas queimaduras por chamas, sendo este o principal fator etiológico 2 .…”

Section: Introductionunclassified

“…A presença de contraturas lineares, por exemplo, é melhor abordada por zetaplastias, contínuas ou compostas, com ângulos de 60º ou maiores 5 . A presença de contraturas nas faces volares das falanges e nas regiões interfalangeanas podem ser tratadas com enxertos de espessura total (preferencialmente) ou parcial, na eventualidade de não se exporem estruturas nobres, como vasos, nervos, ossos ou tendões 1 .…”

Section: Introductionunclassified

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Amputação digital após liberação de contratura digital: relato de caso

Filho¹,

Souza²,

Casagrande³

et al. 2019

Revista Brasileira De Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery

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Section: ■ Resumounclassified

Section: Introductionunclassified

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Amputação digital após liberação de contratura digital: relato de caso

Filho¹,

Souza²,

Casagrande³

et al. 2019

Revista Brasileira De Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery

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confidence: 99%

“…I nitial management of significant burns of the hand include surgical maneuvers of eschar and compartment decompressions, early wound excision, and prompt definitive coverage. 1 Early introduction of splinting, range of motion strategies, and edema control should also be explicit components of initial treatment of hand burns, and these adjuncts can be associated with decreased contractures and fewer secondary reconstruction procedures. 2 For initial dressing of burned hands through the first stages of treatment, we have developed a customized composite dressing glove compatible with early motion, protective of skin substitutes and grafts, and adaptable to splinting.…”

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confidence: 99%

Glove Dressing for Initial Management of Hand Burns

Ratliff

King²,

Lineaweaver

2022

Ann Plast Surg

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Initial hand dressings for burned hands should be compatible with preservation of skin substitutes and grafts, splinting, and active motion. We have developed a standardized glove dressing directed at these requirements. Early experience with this glove dressing has included feasible clinical application, 7-to 10-minute application time, and 90% preservation of total active range of motion in a normal hand placed in the dressing under test conditions.

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Physical Medicine Applications in Hand Burns: Treatment or Rehabilitation

Ergani,

Yalçın Topçuoğlu,

Yaşar

et al. 2023

Journal of Burn Care &Amp; Research

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The aim of this study is to investigate the contribution of concurrent physical therapy to the preservation of hand function in patients with hand burns. This retrospective cohort study included the records of adult patients who presented with hand burns between July 1, 2020, and December 1, 2021. A total of 67 of 1578 burn patients who attended the clinic were included in this study. The patients’ age, sex, total BSA with burns, causative agent, depth of burn on the hand, right or left hand, location of the burned area on the hand, treatment applied, healing time of the burn on the hand, limitation of movement, the joint restrictions, contractures, and compliance with physical therapy were assessed and recorded. Among the 67 patients included, 82.1% (n = 55) had no limitation in terms of their joint range of motion, whereas 17.9% (n = 12) had a limitation of movement in their finger joints. When the prevalence of movement limitation was examined by gender, such limitation was found to be more common in females (P = .041). Moreover, contractures were found to occur more frequently in patients with full-thickness burns (P = .032). It was also found that the limitation of movement was more severe in patients with skin grafts (P = .044). In addition, it was observed that the recovery time of the burn area was longer in those patients who had movement limitations (P = .004). In this study, we found that applying early physical therapy to patients after burn injuries facilitated the recovery of hand functions.

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Acute and Reconstructive Care of the Burned Hand

Cited by 5 publications

References 37 publications

Amputação digital após liberação de contratura digital: relato de caso

Amputação digital após liberação de contratura digital: relato de caso

Glove Dressing for Initial Management of Hand Burns

Physical Medicine Applications in Hand Burns: Treatment or Rehabilitation

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