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.
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Literatur
Achauer BM, Welk RA (1990) One-stage reconstruction of the postburn nailfold contracture. Plast Reconstr Surg 85:937–940; discussion 941
Agarwal R, Drew PJ (2004) unusual graft donor site in a full-thickness hand burn. Burns 30(8):871–872
Baruchin AM, Scharf S; Bauchin O, Yoffe B (2005) Resurfacing of fingertip following deep burns: the hypothenar skin graft. Burns 31(2):243–244
Baumeister S, Germann G, Giessler G, Dragu A, Sauerbier M (2004) Wiederherstellung der verbrannten Extremität durch Transplantation freier Lappenplastiken. Chirurg 75:568–578
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
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
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
Deb R, Giessler GA, Przybiliski M, Erdmann D, Germann G (2004) Die plastisch-chirurgische Sekundärrekonstruktion von Schwerbrandverletzten. Chirurg 75:588–598
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
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
Fufa DT, Chuang SS, Yang JY (2014) Postburn contractures of the hand. J Hand Surg Am 39(9):1869–1876
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
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
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
Kamath BJ, Bhardwaj P (2009) Adjustable distractor for management of thumb web contracture. Burns 35(2):274–279
Kamolz LP, Kitzinger HB, Karle B, Frey M (2009) The treatment of hand burns. Burns 35:327–337
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
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
Kurtzman LC, Stern PJ, Yakuboff KP (1990) Reconstruction of the burned thumb. Hand Clin 8(1):107–119
Matev IB (1980) Thumb reconstruction through metacarpal bone lengthening. J Hand Surg (AM) 5:482–487
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
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
Noever G, Brüser P (1990) Radial island flap for the reconstruction of the 1st commissure. Handchir. Mikrochir. Plast Chir 22(3):145–148
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
Pan BS, Vu AT, Yakuboff KP (2015) Management of the acutely burned hand. J Hand Surg Am 40(7):1477–1484
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
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
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
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
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
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
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
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
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
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
Siemers F, Mailänder P (2009) Treatment of hand Burns. Unfallchirurg 112(6):558–564
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
Ward JW, Pensler JM, Parry SW (1985) Pollicization for thumb reconstruction in severe pediatric hand burns. Plast Reconstr Surg 76(6):927–932
Wong L, Spencer RJ (2000) Escharotomy and fasciotomy of the burned upper extremity. Hand Clin 16(2):165–174
Woo SH, Jeong JH, Seul JH (1996) Resurfacing relatively large skin defects of the hand using arterialized venous flaps. J Hand Surg. 21B:222
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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
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