TY - JOUR
T1 - Efficacy of tangential excision and immediate autografting of deep second-degree burns of the hand
AU - Levine, Barry A.
AU - Sirinek, Kenneth R.
AU - Peterson, Hugh D.
AU - Pruitt, Basil A.
PY - 1979/9
Y1 - 1979/9
N2 - 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.
AB - 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.
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U2 - 10.1097/00005373-197909000-00006
DO - 10.1097/00005373-197909000-00006
M3 - Article
C2 - 385912
AN - SCOPUS:0018609476
SN - 0022-5282
VL - 19
SP - 670
EP - 673
JO - Journal of Trauma - Injury, Infection and Critical Care
JF - Journal of Trauma - Injury, Infection and Critical Care
IS - 9
ER -