Hand Burns: State of the Art

Abstract

Background: In most burn victims the hand is a major organ involved. Despite its small proportion on the surface of the body, hand burns have major consequences for the individuals. The preservation of the hand's function is closely linked to the preservation of the patient's independence and ability to work. Therefore, diagnosis and treatment according to the latest scientific findings are indispensable. Methods: The technique of this diploma thesis is an overview literature research. Books, e-books and publications derived from "PubMed" and “Google Scholar” were used for research. The selection of the sources included was limited to publications from the last 15 years. Clinically relevant topics were clearly elaborated and contradictions were compared. Results: Current data underlines the importance of exact diagnostics to ensure the subsequent treatment is applied to the extent of the injury. The invasiveness of the therapy should always be adapted to the expected outcome to achieve the best possible result for the patient. Enzymatic debridement and vacuum therapy of the hand proved to be particularly beneficial. Autologous full-thickness skin transplantation remains the gold standard in covering the hand although numerous skin replacement materials are available on the market that have been adapted to the anatomical conditions of the hand. When reconstructing subsequent hand deformities, the hand should be considered as a functional unit in order to achieve functionally satisfactory results. Discussion: As far as the objectivisation of the outcome is concerned, there is no standard yet. There is a need for future research. There is a need for future research.

Date of Award	2020
Original language	English
Awarding Institution	Medical University Graz
Supervisor	Janos Cambiaso Daniel (Supervisor) & Lars-Peter Kamolz (Co-supervisor)