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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Literatur
Luce EA (2000) The acute and subacute management of the burned hand. Clin Plast Surg 27: 49–63
Harvey KD, Barillo DJ, Hobbs CL et al (1996) Computer-assisted evaluation of hand and arm function after thermal injury. J Burn Care Rehabil 17: 176–180: discussion 175
Braithwaite F, Watson J (1949) Some observations on the treatment of the dorsal burn of the hand. Br J Plast Surg 2: 21–31
Peacock EE (1953) Management of conditions of the hand requiring immobilization. Surg Clin North Am 1953: 1297–1309
Sheridan RL, Hurley J, Smith MA, et al (1995) The acutely burned hand: management and outcome based on a ten-year experience with 1047 acute hand burns. J Trauma 38: 406–411
Morel Fatio D (1961) Surgery of the skin. In: Tubiana R (ed). The hand. Saunders, Philadelphia, pp 224–225
Schmidt H-M, Lanz U (2003) Chirurgische Anatomie der Hand. 2., überarb. und aktualisierte Aufl. Thieme, Stuttgart
Deb R, Giessler GA, Przybilski M, Erdmann D, Germann G (2004) Die plastisch-chirurgische Sekundärrekonstruktion von Schwerstbrandverletzten. Chirurg 75: 588–598
Hentz VR (1985) Burns of the hand. Thermal, chemical, and electrical. Emerg Med Clin North Am 3: 391–403
Robson MC, Smith DJ, Jr., VanderZee AJ, Roberts L (1992) Making the burned hand functional. Clin Plast Surg 19: 663–671
Wong L, Spence RJ (2000) Escharotomy and fasciotomy of the burned upper extremity. Hand Clin 16: 165–174, vii
Weinzweig J, Weinzweig N (2004) Burns of the hand and upper extremity. In: Berger RA, Weiss A-PC (eds) Hand surgery. LWW, Philadelphia, pp 1073–1084
Smith MA, Munster AM, Spence RJ (1998) Burns of the hand and upper limb—a review. Burns 24: 493–505
Salisbury RE, Levine NS (1976) The early management of upper extremity thermal injury. In: Salisbury RE, Priutt BA (eds) Burns of the upper extremity. Saunders, Philadelphia, pp 36–46
Salisbury RE, McKeel DW, Mason AD, Jr. (1974) Ischemic necrosis of the intrinsic muscles of the hand after thermal injuries. J Bone Joint Surg Am 56: 1701–1707
Raine TJ, Heggers JP, Robson MC, London MD, Johns L (1981) Cooling the burn wound to maintain microcirculation. J Trauma 21: 394–397
Kitzinger HB, Lanz U (2004) Die Anatomie der Fingergelenke. DAHTH 6: 3–11
Prasad JK, Bowden ML, Thomson PD (1991) A review of the reconstructive surgery needs of 3167 survivors of burn injury. Burns 17: 302–305
Ono I, Gunji H, Zhang JZ, Maruyama K, Kaneko F (1995) A study of cytokines in burn blister fluid related to wound healing. Burns 21: 352–355
Heggers JP, Ko F, Robson MC, Heggers R, Craft KE (1980) Evaluation of burn blister fluid. Plast Reconstr Surg 65: 798–804
Dimick AR (1971) Management of patients with thermal injuries. Am Surg 37: 637–641
Klasen HJ (2000) A historical review of the use of silver in the treatment of burns. II. Renewed interest for silver. Burns 26: 131–138
Wang XW, Wang NZ, Zhang OZ, Zapata-Sirvent RL, Davies JW (1985) Tissue deposition of silver following topical use of silver sulphadiazine in extensive burns. Burns Incl Therm Inj 11: 197–201
Zellner PR, Bugyi S (1985) Povidone-iodine in the treatment of burn patients. J Hosp Infect 6 [Suppl A]: 139–146
Homann HH, Rosbach O, Moll W, et al (2007) A liposome hydrogel with polyvinyl-pyrrolidone iodine in the local treatment of partial-thickness burn wounds. Ann Plast Surg 59: 423–427
Germann G, Steinau HU (1993) Aktuelle Aspekte der Verbrennungsbehandlung. Zentralbl Chir 118: 290–302
Levine BA, Sirinek KR, Peterson HD, Pruitt BA, Jr (1979) Efficacy of tangential excision and immediate autografting of deep second-degree burns of the hand. J Trauma 19: 670–673
Goodwin CW, Maguire MS, McManus WF, Pruitt BA, Jr (1983) Prospective study of burn wound excision of the hands. J Trauma 23: 510–517
Edstrom LE, Robson MC, Macchiaverna JR, Scala AD (1979) Prospective randomized treatments for burned hands: nonoperative vs. operative. Preliminary report. Scand J Plast Reconstr Surg 13: 131–135
Haynes BW Jr. (1969) Early excision and grafting in third degree burns. Ann Surg 169: 736–747
Janzekovic Z (1970) A new concept in the early excision and immediate grafting of burns. J Trauma 10: 1103–1108
Uhlig C, Rapp M, Hartmann B et al (2007) Suprathelan innovative, resorbable skin substitute for the treatment of burn victims. Burns 33: 221–229
Cartotto R, Musgrave MA, Beveridge M, Fish J, Gomez M (2000) Minimizing blood loss in burn surgery. J Trauma 49: 1034–1039
Jang YC, Kwon OK, Lee JW, Oh SJ (2001) The optimal management of pediatric steam burn from electric rice-cooker: STSG or FTSG? J Burn Care Rehabil 22: 15–20
Barret JP, Desai MH, Herndon DN (2000) The isolated burned palm in children: epidemiology and long-term sequelae. Plast Reconstr Surg 105: 949–952
Logsetty S, Heimbach DM (2000) Modern techniques for wound coverage of the therm ally injured upper extremity. Hand Clin 16: 205–214
Raff T, Hartmann B, Wagner H, Germann G (1996) Experience with the modified Meek technique. Acta Chir Plast 38: 142–146
Vogt PM, Kolokythas P, Niederbichler A, et al (2007) Innovative Wundtherapie und Hautersatz bei Verbrennungen. Chirurg 78: 335–342
Kamolz LP, Luegmair M, Wick N et al (2005) The Viennese culture method: cultured human epithelium obtained on a dermal matrix based on fibroblast containing fibrin glue gels. Burns 31: 25–29
Whitaker IS, Prowse S, Potokar TS (2008) A critical evaluation of the use of Biobrane as a biologic skin substitute: a versatile tool for the plastic and reconstructive surgeon. Ann Plast Surg 60: 333–337
Barret JP, Dziewulski P, Ramzy PI et al (2000) Biobrane versus 1% silver sulfadiazine in second-degree pediatric burns. Plast Reconstr Surg 105: 62–65
Weinzweig J, Gottlieb LJ, Krizek TJ (1994) Toxic shock syndrome associated with use of Biobrane in a scald burn victim. Burns 20: 180–181
Schwarze H, Kuntscher M, Uhlig C et al (2007) Suprathel, a new skin substitute, in the management of donor sites of split-thickness skin grafts: results of a clinical study. Burns 33: 850–854
Uhlig C, Rapp M, Dittel KK (2007) Neue Strategien zur Behandlung thermisch geschädigter Haut unter Berücksichtigung des Epithelersatzes Suprathel®. Handchir Mikrochir Plast Chir 39: 314–319
Dantzer E, Queruel P, Salinier L, Palmier B, Quinot JF (2001) [Integra, a new surgical alternative for the treatment of massive burns. Clinical evaluation of acute and reconstructive surgery: 39 cases]. Ann Chir Plast Esthet 46: 173–189
Heitland A, Piatkowski A, Noah, EM, Pallua N (2004) Update on the use of collagen/glycosaminoglycate skin substitute-six years of experiences with artificial skin in 15 German burn centers. Burns 30: 471–475
Haslik W, Kamolz LP, Nathschlager G et al (2007) First experiences with the collagen-elastin matrix Matriderm as a dermal substitute in severe burn injuries of the hand. Burns 33: 364–368
Philipp K, Giessler GA, Germann G, Sauerbier M (2005) Die akzidentelle thermische Verletzung der Hand. Unfallchirurg 108: 179–188
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: 962–968
McGregor IA, Jackson IT (1972) The groin flap. Br J Plast Surg 25: 3–16
Chick LR, Lister GD, Sowder L (1992) Early free-flap coverage of electrical and thermal burns. Plast Reconstr Surg 89: 1013–1019; discussion 1020–1011
Baumeister S, Germann G, Giessler G, Dragu A, Sauerbier M (2004) Wiederherstellung der verbrannten Extremität durch Transplantation freier Lappenplastiken. Chirurg 75: 568–578
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: 605–615
Fotopoulos P, Holmer P, Leicht P, Elberg JJ (2003) Dorsal hand coverage with free serratus fascia flap. J Reconstr Microsurg 19: 555–559
Flugel A, Kehrer A, Heitmann C, Germann G, Sauerbier M (2005) Coverage of soft-tissue defects of the hand with free fascial flaps. Microsurgery 25: 47–53
Achauer BM (1987) Management of the burned patient. Appleton & Lange, East Norwalk
Iwuagwu FC, Wilson D, Bailie F (1999) The use of skin grafts in postburn contracture release: a 10-year review. Plast Reconstr Surg 103: 1198–1204
Hintringer W (2002) Arthrotenolyse der Mittelgelenke (PIP). Technik und Ergebnisse. Handchir Mikrochir Plast Chir 34: 345–354
Hirshowitz B, Karev A, Rousso M (1975) Combined double Z-plasty and Y-V advancement for thumb web contracture. Hand 7: 291–293
Gulgonen A, Ozer K (2007) The correction of postburn contractures of the second through fourth web spaces. J Hand Surg [Am] 32: 556–564
Witthaut J, Leclercq C (1998) Anatomy of the adductor pollicis muscle. A basis for release procedures for adduction contractures of the thumb. J Hand Surg [Br] 23: 380–383
Groenevelt F, Schoorl R (1985) Cross-finger flaps from scarred skin in burned hands. Br J Plast Surg 38: 187–189
Ulkur E, Uygur F, Karagoz H, Celikoz B (2007) Flap choices to treat complex severe postburn hand contracture. Ann Plast Surg 58: 479–483
Kealey GP, Jensen KL, Laubenthal KN, Lewis RW (1990) Prospective randomized comparison of two types of pressure therapy garments. J Burn Care Rehabil 11: 334–336
Perkins K, Davey RB, Wallis KA (1983) Silicone gel: a new treatment for burn scars and contractures. Burns Incl Therm Inj 9: 201–204
Tubiana R, Roux JP (1974) Phalangization of the first and fifth metacarpals. Indications, operative technique, and results. J Bone Joint Surg Am 56: 447–457
Matev IB (1980) Thumb reconstruction through metacarpal bone lengthening. J Hand Surg [Am] 5: 482–487
Ward JW, Pensler JM, Parry SW (1985) Pollicization for thumb reconstruction in severe pediatric hand burns. Plast Reconstr Surg 76: 927–932
Achauer BM (1999) The burned hand. In: Green DP, Hotchkiss RN, Pederson WC (eds) Operative hand surgery, 4th edn. Churchill Livingstone, Philadelphia
Achauer BM, Welk RA (1990) One-stage reconstruction of the postburn nailfold contracture. Plast Reconstr Surg 85: 937–940; discussion 941
Donelan MB, Garcia JA (2006) Nailfold reconstruction for correction of burn fingernail deformity. Plast Reconstr Surg 117: 2303–2308; discussion 2309
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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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