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A Swine Burn Model for Investigating the Healing Process in Multiple Depth Burn Wounds

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Outcomes after deep full-thickness hand burns.

Radha K Holavanahalli¹, Phala A Helm, April R Gorman

¹Department of Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, Dallas, TX, USA. Radha.Holavanahalli@utsouthwestern.edu

Archives of Physical Medicine and Rehabilitation

|December 6, 2007

Summary

Deep full-thickness dorsal hand burns significantly impair hand function, with many survivors experiencing amputations or deformities. However, intact flexor muscles allow for modified grasp and independence in most daily activities.

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Area of Science:

Reconstructive surgery
Burn care
Hand function assessment

Background:

Deep full-thickness dorsal hand burns present significant challenges to hand function.
Reconstruction and rehabilitation are crucial for restoring function after severe hand injuries.

Purpose of the Study:

To evaluate hand-specific functional performance in individuals with deep full-thickness dorsal hand burns.
To identify factors influencing functional outcomes and daily living activities.

Main Methods:

A descriptive, cross-sectional study involving 32 burn survivors with full-thickness dorsal hand burns.
Assessment included total active motion, Jebsen-Taylor Hand Function Test (JTHFT), and Michigan Hand Questionnaire (MHQ).

Main Results:

Subjects had extensive burns (mean 58% TBSA), with over 50% experiencing amputations and 22% developing boutonnière deformity.
Forty percent had limited range of motion (<180 degrees), and JTHFT scores were below normative values.
The Michigan Hand Questionnaire indicated significant difficulties with activities of daily living (ADLs).

Conclusions:

Despite severe injuries like amputations or extensor mechanism loss, preserved flexor muscles enable modified grasp and independence in most ADLs.
Rehabilitation programs should be tailored to address specific functional goals and residual deformities from deep full-thickness dorsal hand burns.