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Verbrennungen der Hand

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Verbrennungen

Zusammenfassung

Verbrennungen der Hand werden entsprechend der „American Burn Association“ (ABA) als eine schwere Verletzung definiert, obwohl sie je Hand nur weniger als 3% der gesamten Körperoberfläche betreffen. Bei mehr als 80% der schwer Brandverletzten ist die Hand durch das thermische Trauma betroffen [1]. Verbrennungen der Hand haben nur selten einen Ein-fluss auf die Überlebensrate der Brandverletzten, sind aber zum Zeitpunkt der Entlassung der wichtigste prognostische Faktor für den erfolgreichen Wiedereintritt in die Gesellschaft und das Berufsleben [2]. Häufig wird die Hand in der posttraumatischen Phase zugunsten anderer Körperteile oder der Intensivtherapie vernachlässigt. Doch gerade in dieser Phase werden die Weichen für das Wiedererreichen der kompletten Handfunktion gestellt. Bereits Ende der 1940er Jahre wurde auf die Tendenz einer frühzeitigen Einsteifung der Fingergelenke mit einem Funktionsverlust der Hand hingewiesen, wenn die Mobilisierung der Finger nicht rechtzeitig erfolgt [3].

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Kitzinger, H.B., Karle, B., Frey, M. (2009). Verbrennungen der Hand. In: Kamolz, LP., Herndon, D.N., Jeschke, M.G. (eds) Verbrennungen. Springer, Vienna. https://doi.org/10.1007/978-3-211-79896-6_10

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  • DOI: https://doi.org/10.1007/978-3-211-79896-6_10

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