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KMID : 0616619950010020101
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Journal of Soonchunhyang Medical College
1995 Volume.1 No. 2 p.101 ~ p.105
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Problems In The Treatment of Burnt Hands
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崔碩鉉/Choi, S.H.
金榮吉/洪聖鎬/朴鐘燮/Kim, Y.K./Hong, S.H./Park, C.S.
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Abstract
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The burnt hand, althrough representing a relatively small body surface area of less than 2 per cent, but extremely important functional aspect of burn patient. If a patient survives a severe burn, major permanent disability is usually lack of function of the hands. The treatment of burnt hands is not simple. The poor results achieved in among of these burnt hands are intimately related to depth of the burn, to infection, edema, to immobilization and finally to the subsequent scarring, stiffness and .contractures.
To prevent these complications, several authors have proposed correct evaluation of the depth of burn, prevention of stiffness, contractures and tangential excision of burned tissue at an early period with immediate skin grafting. Such responsibility demands the maintenance of adequate range of motion during the preparatory wound care, after the important initial grafting, and during the rehabiltation period, so that maximum final function can be attained.
Proper treatment based on sound principles can greatly reduce or eliminate that disability. It is for these reasons that we feel discussion of some of the problem areas in the treatment of burnt hand is worthwhile.
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