A Clinical Study of Acute Hand Burns

Background: Hand is one of the most common part of the body involved in burns i.e. 80%. Even small burns in hand mayresult in severe limitations of function. Early initiation of physiotherapy, topical treatment, splintage, passive exercise,early excision and grafting in indicated cases are important treatment principles. Aims & Objectives: To study the clinicalprofile and management outcome of acute hand burns. Materials and Methods: A prospective study was conducted in50 patients of acute hand burns due to thermal burns (scald, flame) at Dr. Vasantrao Pawar Medical College and ResearchCentre and SCL Hospital from January 2011 to December 2020 to study clinical profile and outcome. Results: A total 50patients were included in our study. Majority of the patients were in 21 to 30 years 28%. Incidence of burns in femaleswas found to be 68% and 24% in paediatric group. Second degree superficial burns were in 46% patients and treated withdaily dressing and splintage. Deep dermal burns were in 34% patients and treated with daily dressing and split thicknessskin graft. Collagen application was done in 14% patients with second degree superficial burns for early presenters. Earlyexcision and grafting was done in 6% patients with second degree deep burns with exclusive hand burns who presentedearly. Hypertrophic scar accounts 20% of complications. Conclusion: Outcome of acute hand burns depends upon degreeof burns, time interval and initiation of treatment protocol.