[The burned hand].

Abstract

The treatment of the burned hand is part of the care of the burned patient and is not an isolated problem. Second degree injuries present no difficulties because any therapy will be successful. The deep dermal burn is treated in different ways, some authors preferring early tangential necrectomy, while others had good results with secondary reconstructions. In the case of the third degree burn, necrectomy will in any case be mandatory. The preservation of the scar with Betadine gives the opportunity to choose the best timing for the operation in relation to the general condition of the patient. Skin grafting can be performed without any dressing by using the "hayrake" splint. Postoperative treatment is important, splints and pressure dressings are successful. In electrical burns, early necretomy is mandatory. Defects should be closed with flaps. In the area of the secondary reconstruction, the treatment of functional disability has priority over aesthetic corrections.