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KMID : 0358819830100030313
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1983 Volume.10 No. 3 p.313 ~ p.318
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SECONDARY REPAIR OF BURNED HAND
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Kim Yong-Bae
Lee Jin-Ho
Bang Yoo-Hyun
Park Chong-Sup
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Abstract
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A functionless hand resulting from the sequalae of a thermal burn is very serious. It prevents restoration of socioeconomic behavior. Since the magnitude of this problem is rewards for the most deligent and competent primary care greater. It can not be emphasized too strongly the result of good primary care are always superior to what one can expect from secondary restoration.
The pathogenesis of the functionless hand is caused by a triad of factors resulting from thermal injury that together lead to the rapid stiffening of joints and adhesion of tendons. This triad of factors is edema, inflammation, and immobilization. (Beasley, 1981) Thus, the principles for primary care of burned hands leading to rapid recovery and minimal complications are now established and many kinds of methods are proposed. But, despite much effort, many circumstances prevent ideal primary care and we are still confronted with the need for secondary repairs.
Secondary repair of burned hands requires a careful, cojmprehensive and individualized plan for each patien, and with due respect to all the patient’s problems.
We reviewed 42 cases of the postburn hand deformities which were operated on in our Department of Plastic and Reconstructive Surgery from 1976 to 1981.
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