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Burn Injuries

Burn Injuries

Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
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Updated: Sep 8, 2025

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach

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Soft Tissue Reconstruction for Upper Extremity Necrotizing Soft Tissue Infections.

Jenny L Yu¹, Christopher S Crowe¹, Pooja Yesantharao²

¹From the Division of Plastic Surgery, Department of Surgery, University of Washington, Seattle, WA.

Annals of Plastic Surgery

|June 15, 2022

Summary

This summary is machine-generated.

Necrotizing soft tissue infections (NSTIs) of the upper extremity require extensive debridement, often resulting in large defects. Successful wound reconstruction is achievable with various methods, though some patients may need further procedures.

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Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers

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Published on: October 29, 2021

Area of Science:

Plastic Surgery
Infectious Diseases
Wound Reconstruction

Background:

Necrotizing soft tissue infection (NSTI) management involves surgical excision, frequently leading to significant soft tissue defects.
Upper extremity NSTIs present unique reconstructive challenges due to functional and anatomical considerations.

Purpose of the Study:

To evaluate reconstructive strategies and outcomes for patients with upper extremity NSTIs.
To identify factors influencing successful reconstruction and potential complications.

Main Methods:

Retrospective chart review of 99 patients diagnosed with upper extremity NSTI from 2014-2019.
Analysis of patient demographics, infection etiology, debridement frequency, reconstructive techniques, and secondary interventions.

Main Results:

Median wound size post-debridement was 100 cm², with an average of 3.4 debridements per patient.
Common reconstructions included delayed primary closure, skin grafting, or combined techniques. Flap reconstructions were less frequent.
Amputations occurred in 7 patients, and 12 patients died. Reconstruction failure or sequelae required additional operations in some cases.

Conclusions:

Patients with upper extremity NSTIs can achieve successful wound reconstruction and survival.
While most reconstructions are successful, a subset of patients may require further procedures for complications or functional deficits.