Results of early excision and grafting in hand burns

A total of 658 admissions to the Burns Unit at the Royal Brisbane Hospital were reviewed over a 4-year period. During this time, 73 hand burns were treated. The policies of the Burns Unit regarding hand burns are detailed; and, where possible, early excision and grafting is performed. The results of these hand burns are discussed and indicate minimal requirements for reconstructive surgery. The most common reconstructive surgery needed was for web space release in 10 patients and excision of hypertrophic scar in 2 patients. It is concluded that early excision and grafting of hand burns is safe and practical, and combined with adequate splinting, exercise and pressure garments, gives good results and lessens hospital stay in patients with relatively small injuries. The duration of stay in hospital in patients with large burns is not due to the treatment of their hand burns, but to their overall large body surface area burnt.