• Burns · Jun 2017

    Review

    Development of an integrative algorithm for the treatment of various stages of full-thickness burns of the first commissure of the hand.

    • Valentin Yuste, Julio Delgado, Alberto Agullo, and Jose Mauel Sampietro.
    • Plastic Surgery Department, Hospital Universitario Miguel Servet, Zaragoza, Spain. Electronic address: Doctor@valentinyuste.es.
    • Burns. 2017 Jun 1; 43 (4): 812-818.

    AbstractBurns of the first commissure of the hand can evolve into an adduction contracture of the thumb. We decided to conduct a review of the existing literature on the treatment of full-thickness burns of the first commissure in order to develop a treatment algorithm that integrates the various currently available procedures. A search of the existing literature was conducted, focusing on the treatment of a burn of the first commissure in its chronic and acute phases. A total of 29 relevant articles were selected; 24 focused exclusively on the chronic contracture stage, while 3 focused exclusively on the acute burn stage, and 2 articles studied both stages. A therapeutic algorithm for full-thickness burns of the first commissure of the hand was developed. With this algorithm we sought to relate each degree and stage of the burn with a treatment.Copyright © 2017 Elsevier Ltd and ISBI. All rights reserved.

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