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Aktyvios chirurginės taktikos veismingumas gydant gilius dalies odos storio plaštakų ir riešų nudegimus / The effectiveness of active surgical tactic in treatment of deep partial thickness burn of hand and wristMaslauskas, Kęstutis 07 July 2005 (has links)
ABBREVIATIONS
MPJ – Metacarpophalangeal joints
PIPJ – Proximal interphalangeal joints
DIPJ – Distal interphalangeal joints
OIJ – Own interphalangeal joints (PIPJ + DIPJ)
DPTB – Deep partial thickness burns
ST– Sparing tactics
AST – Active surgical tactics
KMUH–Kaunas Medical University Hospital
MRSA - Meticylin resistant Staphylococcus aureus
MSSA - Meticylin sensitive Staphylococcus aureus
ADP – Autodermoplastics
TBSA – Total burn surface area
BAH– Burnt area of hand
IHF – Impairment of hand’ function
AASH – The Association of American Surgeons of Hand
1. INTRODUCTION
Hand actively participate in daily activities of a human, therefore hand are the mostly vulnerable part of human’s body. According to the data of various authors, the injuries of hand and fingers make even 30-75% of all industrial traumas (Antonopulos et al. 1992, Burm et al. 1999), and burns of hand make about 6% of all traumas of hand (Mam et al. 1998).
According to the data of the Lithuanian Information Center of Health, the number of injuries of shoulder bend and hand in these latter years is increasing constantly (Picture 1). Moreover, every year more than 6000 people sustain burns and about 2000 of them are treated at hospitals. About 500 people, who sustained burns, are treated every year at the specialized hospitals. Burns of one or both hand are diagnosed to about half of hospitalized patients, and deep partial thickness burns of hand are diagnosed to 15-20% of them.
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