Thermal injuries:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
2000
|
| Schriftenreihe: | Hand clinics
16,2 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | X S., S. 165 - 322 Ill., graph. Darst. |
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| 650 | 2 | |a Brûlures - Chirurgie | |
| 650 | 2 | |a Brûlures - Enfant | |
| 650 | 2 | |a Gelures - Thérapeutique | |
| 650 | 2 | |a Traumatismes de la main - Chirurgie | |
| 650 | 2 | |a Traumatismes du membre supérieur - Chirurgie | |
| 650 | 2 | |a Traumatismes du membre supérieur - Enfant | |
| 650 | 4 | |a Arm Injuries |x surgery | |
| 650 | 4 | |a Arm |x Wounds and injuries | |
| 650 | 4 | |a Burns and scalds | |
| 650 | 4 | |a Burns |x surgery | |
| 650 | 4 | |a Frostbite | |
| 650 | 4 | |a Frostbite |x surgery | |
| 650 | 4 | |a Wounds and Injuries | |
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Datensatz im Suchindex
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|---|---|
| adam_text | THERMAL INJURIES
CONTENTS
Preface xiii
Edward E. Tredget
Color Plates xv
Escharotomy and Fasciotomy of the Burned Upper Extremity 165
Lesley Wong and Robert J. Spence
Escharotomy and fasciotomy are performed in the burned upper extremity
to prevent and treat the sequelae of circumferential full thickness burns
and high voltage electrical burns. Indications to perform these procedures
are determined primarily by clinical examination but can be supplemented
by measurements of subfascial pressures. The techniques are designed to
avoid further complications. Options for wound closure are discussed. The
use of allograft as temporary coverage of fasciotomy incisions may allow
delayed primary closure.
Management of Acute Burn Injuries of the Upper Extremity in
the Pediatric Population 175
David G. Greenhalgh
Burns of the upper extremity occur frequently in children. Because of
differences in development and anatomy, patterns of burn injury are differ¬
ent in children compared to adults. Immediate goals after these injuries
are to prevent compartment syndromes and minimize progressive damage.
The second decision is whether the burn requires conservative care or
grafting. If the injury heals within 2 weeks, then scarring is minimized. If
the wound has not healed in that time period, then grafting should
be considered. Grafting techniques that optimize function and cosmetic
appearance are outlined.
Management of the Acutely Burned Upper Extremity 187
Edward E. Tredget
Acute thermal injuries to the upper extremity commonly occur in young
working men in early, productive stages of their career, such that prompt
and complete restoration of function and cosmesis is the goal of therapy.
HAND CLINICS
VOLUME 16 • NUMBER 2 • MAY 2000 vii
Nonsurgical care seeks to provide local wound care to limit infection,
splinting to sustain a position of function, and physiotherapy for range of
motion. Surgical approaches to wound coverage aim to re establish wound
closure by the simplest available technique within 14 days of injury. This
is achieved by split thickness skin grafts, although local or free tissue
transfers are necessary for deeper thermal injuries to the upper extremity.
Aggressive rehabilitation by individuals skilled and experienced in caring
for thermal injuries of the upper extremity is required postoperatively.
Modern Techniques for Wound Coverage of the Thermally
Injured Upper Extremity 205
Sarvesh Logsetty and David M. Heimbach
Burn injuries to the hand can result in significant impairment of both
cosmesis and function. The devastating effects of upper extremity burns
are compounded by the difficulties of treating these injuries. With recent
advances in dressing wound care and surgical techniques, it is possible to
repair all but the most devastating burn injuries, resulting in both good
function and appearance. This article describes some of the options that
are available.
Management of Chemical Injuries to the Upper Extremity 215
Debra A. Reilly and Warren L. Garner
Chemical burns are unique injuries that require specialized knowledge
and management principles to obtain the best treatment outcome. The
treatment of chemical burns is difficult. Minor injuries can be safely treated
by a surgeon with interest and experience. The upper extremity is espe¬
cially at risk for injury in work related accidents. This article outlines
the pathophysiology of chemical injury and discusses surgical treatment
alternatives needed for a successful outcome.
Upper Extremity Electrical Injury 225
John R. Danielson, Mary Capelli Schellpfeffer, and Raphael C. Lee
Electrical injuries to the upper extremity are far ranging in extent and
vary in magnitude. Proper management requires an appreciation for the
pathophysiology, clinical manifestations, and therapeutic options. Persis¬
tent neurologic and psychiatric problems further impact the high incidence
of disability in the electrical injury patient. Loss is significant for victims,
their families, and employers, in part because of the relative youth of
those injured.
Frostbite of the Upper Extremity 235
Cynthia W. Su, Robert Lohman, and Lawrence J. Gottlieb
Progressive tissue injury from frostbite occurs through direct and indirect
mechanisms. Direct cellular injury is minimal, whereas indirect injury
accounts for most tissue damage. Although a variety of methods have
been used to limit indirect injury, results have not been predictable, and
rapid rewarming has remained the mainstay of therapy. Early triple phase
bone scans are useful to identify tissue destined for necrosis and to direct
early amputation or salvage operations.
viU CONTENTS
Reconstruction of the Pediatric Burned Hand 249
Robert L. McCauley
The classification of acute burn injuries to the hand can have predictive
functional outcome. Unfortunately, the management of delayed burn injur¬
ies to the hand has received attention only recently. In children, even the
most devastating and deforming burn injuries are managed so that func¬
tional outcome is significantly improved. Vigilance in maintaining a rigor¬
ous postoperative physical therapy program, however, is essential.
Microsurgical Reconstruction of the Thermally Injured Upper
Extremity 261
Masaki Takeuchi, Motohiro Nozaki, Kenji Sasaki,
Hiroaki Nakazawa, and Hiroyuki Sakurai
The use of free flaps for coverage of the deeply burned hand has advan¬
tages that include the salvage of the exposed vessels, nerves, tendons,
joints, and bone; a single operation to obtain wound closure, minimizing
the risk of infection; and earlier physical therapy. This article focuses on
the choice of suitable free flaps for the coverage of the deeply burned
hand; and it also presents some case reports.
Molecular and Cellular Aspects of Fibrosis Following
Thermal Injury 271
Paul G. Scott, Aziz Ghahary, and Edward E. Tredget
The hypertrophic scars that frequently develop in healing full or partial
thickness burns are characterized by a thickened epithelium and a dermis
within which much of the collagen is organized into whorls or nodules,
rather than the parallel fibers and fiber bundles of normal dermis or
nonhypertrophic scar. This abnormal organization of the collagen, together
with a chemical composition that includes elevated levels of large chon
droitin sulphate proteoglycans and one small dermatan sulphate proteo
glycan, could account for some of the undesirable physical properties of
the scars. This article describes the histology, ultrastucture, and chemical
composition of hypertrophic scars.
Control of Wound Contraction: Basic and Clinical Features 289
B. Nedelec, Aziz Ghahary, Paul G. Scott, and Edward E. Tredget
Control of the contractile forces within wounds, from a clinician s perspec¬
tive, means the minimization of scar contractures that are associated with
functional and cosmetic morbidity. In contrast to normal scar maturation,
the development of hypertrophic scars and scar contractures appears to
be a relentless and persistent process that is deficient of the normal remod¬
eling influences. To optimize the effectiveness of clinical interventions,
an understanding of the pathophysiology events that contribute to scar
contracture formation is imperative.
Rehabilitation of the Burned Upper Extremity 303
Wendy Tilley, Sandra McMahon, and Barbara Shukalak
This article offers an overview of the therapist s role in the management
of upper extremity burn injury through the acute and rehabilitation phases
CONTENTS ix
of treatment. Both the physical and psychosocial problems are identified,
and various treatment approaches are discussed. Emphasis is placed on
achieving the maximum functional result and the need for long term
follow up.
Index 319
Subscription Information Inside back cover
CONTENTS
X
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| spelling | Thermal injuries Edward E. Tredget, guest ed. Philadelphia [u.a.] Saunders 2000 X S., S. 165 - 322 Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Hand clinics 16,2 Armen (ledematen) gtt Bevriezing gtt Brandwonden gtt Brûlures - Chirurgie Brûlures - Enfant Gelures - Thérapeutique Traumatismes de la main - Chirurgie Traumatismes du membre supérieur - Chirurgie Traumatismes du membre supérieur - Enfant Arm Injuries surgery Arm Wounds and injuries Burns and scalds Burns surgery Frostbite Frostbite surgery Wounds and Injuries Arm (DE-588)4002931-1 gnd rswk-swf Verbrennung Medizin (DE-588)4062659-3 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Arm (DE-588)4002931-1 s Verbrennung Medizin (DE-588)4062659-3 s DE-604 Tredget, Edward E. Sonstige oth Hand clinics 16,2 (DE-604)BV000019309 16,2 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008968701&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Thermal injuries Hand clinics Armen (ledematen) gtt Bevriezing gtt Brandwonden gtt Brûlures - Chirurgie Brûlures - Enfant Gelures - Thérapeutique Traumatismes de la main - Chirurgie Traumatismes du membre supérieur - Chirurgie Traumatismes du membre supérieur - Enfant Arm Injuries surgery Arm Wounds and injuries Burns and scalds Burns surgery Frostbite Frostbite surgery Wounds and Injuries Arm (DE-588)4002931-1 gnd Verbrennung Medizin (DE-588)4062659-3 gnd |
| subject_GND | (DE-588)4002931-1 (DE-588)4062659-3 (DE-588)4143413-4 |
| title | Thermal injuries |
| title_auth | Thermal injuries |
| title_exact_search | Thermal injuries |
| title_full | Thermal injuries Edward E. Tredget, guest ed. |
| title_fullStr | Thermal injuries Edward E. Tredget, guest ed. |
| title_full_unstemmed | Thermal injuries Edward E. Tredget, guest ed. |
| title_short | Thermal injuries |
| title_sort | thermal injuries |
| topic | Armen (ledematen) gtt Bevriezing gtt Brandwonden gtt Brûlures - Chirurgie Brûlures - Enfant Gelures - Thérapeutique Traumatismes de la main - Chirurgie Traumatismes du membre supérieur - Chirurgie Traumatismes du membre supérieur - Enfant Arm Injuries surgery Arm Wounds and injuries Burns and scalds Burns surgery Frostbite Frostbite surgery Wounds and Injuries Arm (DE-588)4002931-1 gnd Verbrennung Medizin (DE-588)4062659-3 gnd |
| topic_facet | Armen (ledematen) Bevriezing Brandwonden Brûlures - Chirurgie Brûlures - Enfant Gelures - Thérapeutique Traumatismes de la main - Chirurgie Traumatismes du membre supérieur - Chirurgie Traumatismes du membre supérieur - Enfant Arm Injuries surgery Arm Wounds and injuries Burns and scalds Burns surgery Frostbite Frostbite surgery Wounds and Injuries Arm Verbrennung Medizin Aufsatzsammlung |
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