Development of an integrative algorithm for the treatment of various stages of full-thickness burns of the first commissure of the hand.
review · Level V
Where this comes from
- Record sourced from PubMed, PMID 28413109.
- Also identified by DOI 10.1016/j.burns.2017.01.002.
- No licence information is recorded for this record.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
Burns of the first commissure of the hand can evolve into an adduction contracture of the thumb. We decided to conduct a review of the existing literature on the treatment of full-thickness burns of the first commissure in order to develop a treatment algorithm that integrates the various currently available procedures. A search of the existing literature was conducted, focusing on the treatment of a burn of the first commissure in its chronic and acute phases. A total of 29 relevant articles were selected; 24 focused exclusively on the chronic contracture stage, while 3 focused exclusively on the acute burn stage, and 2 articles studied both stages. A therapeutic algorithm for full-thickness burns of the first commissure of the hand was developed. With this algorithm we sought to relate each degree and stage of the burn with a treatment.
Medical subject headings
- Algorithms
- Burns
- Contracture
- Hand Injuries
- Skin Transplantation
- Skin, Artificial
- Surgical Flaps