Optimizing Outcomes in the Management of the Burned Hand

Clin Plast Surg. 2024 Oct;51(4):539-551. doi: 10.1016/j.cps.2024.04.003. Epub 2024 May 15.

Abstract

Burns of the hand are prevalent and must be managed aggressively in the acute phase to prevent deformity and disability. Proper early wound management, achieving durable soft tissue coverage, and appropriate positioning in the acute period offer substantial benefits to patients long-term. When contractures occur, secondary procedures are often indicated, and they range from laser therapy to local/regional flap coverage; rarely free flaps are used. Boutonniere deformities are common, and unfortunately, at times finger amputation renders the hand more functional than further efforts at reconstruction.

Keywords: Acute management; Chronic management; Hand burn; Hand burn deformity; Hand surgery.

Publication types

  • Review

MeSH terms

  • Burns* / complications
  • Burns* / surgery
  • Burns* / therapy
  • Contracture / etiology
  • Contracture / prevention & control
  • Contracture / surgery
  • Hand Deformities, Acquired / etiology
  • Hand Deformities, Acquired / surgery
  • Hand Injuries* / surgery
  • Humans
  • Plastic Surgery Procedures* / methods
  • Surgical Flaps
  • Treatment Outcome