Reconstruction of the pediatric burned hand

R. L. McCauley

    Research output: Contribution to journalArticle

    28 Citations (Scopus)

    Abstract

    It is clear that reconstruction of pediatric hand bums is a complicated task (Fig. 8), and attention to details during the acute phase of injury may be surgeons' greatest ally in subsequent functional rehabilitation of the hand. Reducing edema, maintaining digital circulation, limiting inflammation, and mobilizing the limb early are key parameters to assure return of function during the acute phase of injury. Although children may present with neglected contractures at a later date, even grade IV contractures can be surgically approached with hopes of improving hand function. Loss of the thumb in children with very large total body surface area burns can be approached reliably by lengthening of the thumb using first-to-second metacarpal transfers, as described by Littler. Although electrical injuries represent only a small fraction of patients admitted to our hospitals, children who present with viable insensate hands can have reliable sensory rerum more than 1 year after injury using nonvascularized cable nerve grafts if soft tissue coverage is adequate. As surgical procedures continue to evolve in delayed reconstruction of the hand, one would expect children to show better results than those seen in adult patients. A more aggressive surgical approach, with increased optimism, therefore is required when addressing children with complex hand burns requiring reconstruction.

    Original languageEnglish (US)
    Pages (from-to)249-259
    Number of pages11
    JournalHand Clinics
    Volume16
    Issue number2
    StatePublished - 2000

    Fingerprint

    Hand
    Pediatrics
    Thumb
    Wounds and Injuries
    Contracture
    Burns
    Hope
    Metacarpal Bones
    Body Surface Area
    Edema
    Rehabilitation
    Extremities
    Inflammation
    Transplants

    ASJC Scopus subject areas

    • Surgery
    • Orthopedics and Sports Medicine

    Cite this

    McCauley, R. L. (2000). Reconstruction of the pediatric burned hand. Hand Clinics, 16(2), 249-259.

    Reconstruction of the pediatric burned hand. / McCauley, R. L.

    In: Hand Clinics, Vol. 16, No. 2, 2000, p. 249-259.

    Research output: Contribution to journalArticle

    McCauley, RL 2000, 'Reconstruction of the pediatric burned hand', Hand Clinics, vol. 16, no. 2, pp. 249-259.
    McCauley, R. L. / Reconstruction of the pediatric burned hand. In: Hand Clinics. 2000 ; Vol. 16, No. 2. pp. 249-259.
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