Treatment of 100 burned hands by early excision and skin grafting

The analysis of 101 cases has shown that early excision and grafting is the choice for hand burns. The indications are deep second degree and third degree burns. The excision is performed before the 4th post burn day, by tangential excision or direct knife dissection according to the site and depth. Immediate covering of all excised areas, usually by split-thickness skin autografts, is essential. The combination of early excision and grafting, active physiotherapy, Jobst compressive gloves and hydrotherapy guarantees the best cosmetic and functional results.