Efficacy of tangential excision and immediate autografting of deep second-degree burns of the hand

Barry A. Levine, Kenneth R. Sirinek, Hugh D. Peterson, Basil A. Pruitt

Research output: Contribution to journalArticle

27 Scopus citations


Fifty patients, with 71 hands affected by deep dermal burns, underwent tangential excision and immediate autografting at a mean of the fifth postbum day. Assessment of the group at 6 weeks showed an 8% mortality, good hand function in 50%, fair function in 18%, and poor function in 24%. The total group was partitioned into patients with bums of 40% or less and those with bums of greater than 40% of body surface. The former group had significantly better hand function than the latter. Early tangential excision with immediate autografting of deep dermal hand bums is recommended for almost all patients with small to moderate thermal cutaneous injury. However, only after careful evaluation should patients with large, life-threatening thermal injuries be selected for this procedure.

Original languageEnglish (US)
Pages (from-to)670-673
Number of pages4
JournalJournal of Trauma - Injury, Infection and Critical Care
Issue number9
StatePublished - Sep 1979


ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

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