手部第一关节全层烧伤各阶段治疗综合算法的开发。

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

作者信息

Yuste Valentin, Delgado Julio, Agullo Alberto, Sampietro Jose Mauel

机构信息

Plastic Surgery Department, Hospital Universitario Miguel Servet, Zaragoza, Spain.

出版信息

Burns. 2017 Jun;43(4):812-818. doi: 10.1016/j.burns.2017.01.002. Epub 2017 Apr 14.

DOI:10.1016/j.burns.2017.01.002

PMID:28413109

Abstract

Burns 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.

摘要

手部第一掌指关节处的烧伤可能会发展为拇指内收挛缩。我们决定对现有的关于第一掌指关节全层烧伤治疗的文献进行综述，以便制定一种整合当前各种可用手术方法的治疗方案。我们对现有文献进行了检索，重点关注第一掌指关节烧伤的慢性期和急性期治疗。共筛选出29篇相关文章；其中24篇专门关注慢性挛缩阶段，3篇专门关注急性烧伤阶段，2篇文章对两个阶段都进行了研究。我们制定了手部第一掌指关节全层烧伤的治疗方案。通过这个方案，我们试图将烧伤的每个程度和阶段与相应的治疗方法联系起来。