[Restoration after burns of the back of the hand].

Abstract

In burn injuries due to their exposed situation the hands are frequently injured and in the moment of the accident they are often used as a shield in front of the face. Mainly the back of the hands are involved. In reconstruction after burns of the back of the hands the scared skin is excised under tourniquet, the displaced interdigital webs are corrected by the method of Tanzer and the skin defect is covered by a thick split-skingraft. From case to case additional operations are: replacement of lost extensor tendons, capsulotomies of the MP-joints, arthrodeses of destroid fingerjoints and amputation of fingers which can't be reconstructed.