The primary treatment of severe burn hand by flap plastic.

The author has summed up the experience from the treatment of severely burn hand. A deep burn of the hand is always a severe injury since it may be the cause of partial or full disability. Over the last 12 years (between April 1983 and March 1995) the Prague Burn Centre hospitalized altogether 182 cases of severe burn hands aged between 3 and 74 years. In all injuries an early necrectomy was carried out and the surface was covered with temporary cover. The depths of the injury is properly treated, becomes usually obvious after 4 days after the injury and then it is possible to cover the necrectomised areas with various types of flap plastics. The aim is the greatest possible return of the useful function and a satisfactory cosmetic result.