Skip to main content

Verbrennungen der Hand

  • Chapter
Verbrennungschirurgie

Zusammenfassung

Bei thermischen Verletzungen sind häufig die Hände mitbeteiligt. Im Kapitel Handverbrennungen wird auf deren Diagnostik mit Tiefenausdehnung und die Primärbehandlung eingegangen. Die Möglichkeiten der konservativen Therapie mit den unterschiedlichen Verbandsregimen werden dargestellt. Ein Schwerpunkt liegt auf der Indikationsstellung zur Operation und deren Durchführung. Es werden sowohl Entlastungsschnitte (Escharotomie, Faszienspaltung) als auch verschiedene Verfahren der Nekrektomie dargestellt. Zur Defektdeckung werden die verschiedenen Verfahren mit Spalthauttransplantation, Vollhauttransplantation sowie Möglichkeiten der lokalen Lappenplastik, Fernlappenplastik und der freien Lappentransplantationen dargestellt. Insbesondere finden Daumenwiederherstellung mit Pollizisation, Zehentransplantation, Phalangisation und Distraktion Raum. Weitere Themen sind die Kombinationsverletzungen sowie die spezielle Nachbehandlung der Hände nach Brandverletzung.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 179.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 229.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  • Achauer BM, Welk RA (1990) One-stage reconstruction of the postburn nailfold contracture. Plast Reconstr Surg 85:937–940; discussion 941

    Google Scholar 

  • Agarwal R, Drew PJ (2004) unusual graft donor site in a full-thickness hand burn. Burns 30(8):871–872

    Google Scholar 

  • Baruchin AM, Scharf S; Bauchin O, Yoffe B (2005) Resurfacing of fingertip following deep burns: the hypothenar skin graft. Burns 31(2):243–244

    Google Scholar 

  • Baumeister S, Germann G, Giessler G, Dragu A, Sauerbier M (2004) Wiederherstellung der verbrannten Extremität durch Transplantation freier Lappenplastiken. Chirurg 75:568–578

    Google Scholar 

  • Burd A, Noronha FV, Ahmed K, Chan JYW, Ayyappan T, Ying SY, Pang P (2006) Decompression not escharotomie in acute burns. Burns 32(3):284–292

    Google Scholar 

  • Cartotto R, Cicuto BJ, Kiwanuka HN, Bueno EM, Polmahac B (2014) Common postburn deformities and their management. Surg Clin North Am 94(4):817–837

    Google Scholar 

  • Chan QE, Barzi F, Harvey JG, Holland AJA ((2013) Functional and cosmetic outcome of full- versus split- thickness skin grafts in pediatric palmar surface burns: A prospective, independent evaluation. J Burn Care Res 34(2):232–236

    Google Scholar 

  • Deb R, Giessler GA, Przybiliski M, Erdmann D, Germann G (2004) Die plastisch-chirurgische Sekundärrekonstruktion von Schwerbrandverletzten. Chirurg 75:588–598

    Google Scholar 

  • Dewey WS, Richard RL, Hedman TL, Chapman TT, Quick CD, Renz EM, Blackbourne LH, Wolf SE, Holcomb JB (2008) Opposition splint for partial thumb amputation: a case study measuring disability before and after splint use. J Hand Ther 22(1):79–86

    Google Scholar 

  • Eski M, Nisanci M, Sengezer M (2007) Correction of thumb deformities after burn: versatility of first dorsal metacarpal artery flap. Burns 33(1):65–71

    Google Scholar 

  • Fufa DT, Chuang SS, Yang JY (2014) Postburn contractures of the hand. J Hand Surg Am 39(9):1869–1876

    Google Scholar 

  • Germann G, Funk H, Bickert B (2000) The fate of the dorsal metacarpal arterial system following thermal injury to the dorsal hand: a Doppler sonographic study. J Hand Surg Am 25(5):962–968

    Google Scholar 

  • Goutos I, Jennings CL, Pandya A (2011) Reconstruction of the burnt peronichium: literature review and treatment algorithm. J Burn Care Res 32(4):451–457

    Google Scholar 

  • Haslik W, Kamholz LP, Nathschläger G, Andel H, Meissl G, Frey M (2007) First experiences with the collagen-elastin matrix Matriderm as a dermal substitute in severe burn injuries of the hand. Burns 33:364–368

    Google Scholar 

  • Kamath BJ, Bhardwaj P (2009) Adjustable distractor for management of thumb web contracture. Burns 35(2):274–279

    Google Scholar 

  • Kamolz LP, Kitzinger HB, Karle B, Frey M (2009) The treatment of hand burns. Burns 35:327–337

    Google Scholar 

  • Kim KS, Kim ES, Hwang JH, Lee SY (2010) Thumb reconstruction using the radial midpalmar (perforator-based) island flap (distal thenar perforator-based island flap). Plast Reconstr Surg 125(2):601–608

    Google Scholar 

  • Krieger Y, Bogdanov-Berezovsky A, Gurfinkel R, Silberstein E, Sagi A, Rosenberg L (2012) Efficacy of enzymatic Débridement of deeply burned hands. Burns 38(1):108–112

    Google Scholar 

  • Kurtzman LC, Stern PJ, Yakuboff KP (1990) Reconstruction of the burned thumb. Hand Clin 8(1):107–119

    Google Scholar 

  • Matev IB (1980) Thumb reconstruction through metacarpal bone lengthening. J Hand Surg (AM) 5:482–487

    Google Scholar 

  • May JW Jr, Donelan MB, Toth BA, Wall J (1984) Thumb reconstruction in the burned hand by advancement pollicisation of the second ray remnant. J Hand Surg Am 9(4):484–489

    Google Scholar 

  • Nisanci M, Eski M, Isik S (2008) A new finger fillet design from an index finger with severe postburn flexion deformity. J Burn Care Res 29(4):666–670

    Google Scholar 

  • Noever G, Brüser P (1990) Radial island flap for the reconstruction of the 1st commissure. Handchir. Mikrochir. Plast Chir 22(3):145–148

    Google Scholar 

  • Omar MT, Hassan AA (2011) Evaluation of hand function after early excision and skin grafting of burns versus delayed skin grafting: a randomized clinical trial. Burns 37(4):707–713

    Google Scholar 

  • Pan BS, Vu AT, Yakuboff KP (2015) Management of the acutely burned hand. J Hand Surg Am 40(7):1477–1484

    Google Scholar 

  • Pensler JM, Steward R, Lewis SR, Herndorn DN (1988) Reconstruction of the burned palm: full-thickness versus split-thickness skin grafts-long term follow up. Plast Reconstr Surg 81(1):46–49

    Google Scholar 

  • Prasetyono TO, Sadikin PM, Saputra DK (2015) The use of splint-thickness versus full-thickness skin graft to resurface volar aspect of pediatric burned hands: A systematic review. Burns 41:890–906

    Google Scholar 

  • Reddy DM, Rao DV, Koul AR (1998) One-stage reconstruction of post-electrical burn forearm and hand defects using microsurgical transfer of an ulnar neuromyotendinocutaneous unit. J Reconstr Microsurg 14(1):35–38

    Google Scholar 

  • Reichert B, Schneider B (2011) The Nuremberg Handscore: a new instrument to gain information on subjective assessment of hand burns. Handchir Mikrochir Plast Chir 43(6):332–337

    Google Scholar 

  • Richards WT, Vergara E, Dalaly DG, Coady-Fariborzan L, Mozingo DW (2014) Acute surgical management of hand burns. J Hand Surg Am 39 (10):2075–2085

    Google Scholar 

  • Ridel P, Perrot P, Truffandier MV, Bellier-Waast F, Duteille F (2015) Hand burns in children and Aquacel () Burn gloves, an alternative to prolonged hospital stays. Ann Chir Plast Esthet 60(2):117–122

    Google Scholar 

  • Sabapathy SR, Venkatramani H, Bhardwaj P (2013) Reconstruction of the thumb amputation at the carpometacarpal joint level by groin flap and second toe transfer. Injury 44(3):370–375

    Google Scholar 

  • Sauerbier M, Ofer N, Germann G, Baumeister S (2007) Microvascular reconstruction in burn and electrical burn injuries of the severely traumatized upper extremity. Plast Reconstr Surg 119(2):605–615

    Google Scholar 

  • Schneider JC, Qu HD, Lowry J, Walker J, Vitale E, Zona M (2012) Efficacy of inpatient burn rehabilitation: a prospective pilot study examining range of motion, hand function and balance. Burns 38(2):164–171

    Google Scholar 

  • Sheridan RL, Hurley J, Smith MA, Ryan CM, Bondoc CC, Quinby WC, Tompkins RG, Burke JF (1995) The acutely burned hand: management and outcome based on a ten-year experience with 1047 acute hand burns. J Trauma 38:406–411

    Google Scholar 

  • Siemers F, Mailänder P (2009) Treatment of hand Burns. Unfallchirurg 112(6):558–564

    Google Scholar 

  • Uhlig C, Rapp M, Hartmann B, Hierlemann H, Planck H, Dittel KK (2007) Suprathel – an innovative, resorbable skin substitute for the treatment of burn victims. Burns 33:221–229

    Google Scholar 

  • Ward JW, Pensler JM, Parry SW (1985) Pollicization for thumb reconstruction in severe pediatric hand burns. Plast Reconstr Surg 76(6):927–932

    Google Scholar 

  • Wong L, Spencer RJ (2000) Escharotomy and fasciotomy of the burned upper extremity. Hand Clin 16(2):165–174

    Google Scholar 

  • Woo SH, Jeong JH, Seul JH (1996) Resurfacing relatively large skin defects of the hand using arterialized venous flaps. J Hand Surg. 21B:222

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Möller, M., Rudolf, K. (2016). Verbrennungen der Hand. In: Lehnhardt, M., Hartmann, B., Reichert, B. (eds) Verbrennungschirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54444-6_27

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-54444-6_27

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-54443-9

  • Online ISBN: 978-3-642-54444-6

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics