The treatment and functional rehabilitation of deep degree burned hand

Objective:To explore optimal methods of early wound treatment and functional rehabilitation of deep degree burned hand. Method:Two hundred ninety four cases involving 462 hands with deep degree burns were surgically treated by early escharectomy and partial tangential excision followed by split-thickness skin graft, the combination of acellular allograft dermal matrix and thin split-thickness autogrft,abdominal subdermal vascular network thin skin,and extra-thin skin flap. Result:The function of one handred thirty eight cases involving 232 hands with deep degree burn were satisfactory(50%),the function of seventy nine cases involing 134 hands were a bit improved(29%),and seventy seven cases involving 96 hands dysfunction(21%). Conclusion: Early escharectomy and partial tangential excision of eschar following by early skin grafting could be managed,scar hypertrophy and deformity could be avoided,hand contour and function could be well maintained.