Outcomes of the glove-gauze regimen for managing burn injuries of the hand. (September 2020)

• Record Type: Journal Article
• Authors: Vyrva, Oleksandra; Smock, Elliott; Pessa, Joel; Thirkannad, Sunil M.
• Is Part Of: Journal of hand surgery. Volume 45:Number 7(2020)
• Page Start: 737
• Page End: 741
• Publication Date: 2020-09
• Subjects: Hand -- burn -- glove-gauze -- immediate range of motion -- conservative -- non-surgical -- management; 617.575059
• DOI: 10.1177/1753193420910054
• Languages: English
• ISSNs: 1753-1934

Abstract

We studied the efficacy of the glove-gauze regimen in treating superficial, partial-thickness and small full-thickness hand burns. Outcome measures included healing time, need for surgical intervention, need for formal physical therapy, restoration of range of motion, return to function and incidence of infection. All patients ( n = 123) successfully completed the regimen with an average healing time of 3.7 weeks. None required surgical debridement and seven (6%) required formal physical therapy. One hundred and eighteen patients (96%) regained full range of motion and 122 (99%) returned to their previous level of work. We believe that the glove-gauze regimen provides a simplified and effective means of managing hand burns. We conclude from our patients that the glove-gauze regimen is an effective treatment that can ensure uneventful healing of superficial, partial-thickness and small full-thickness burns. A majority of our patients healed with full range of motion and function without formal physical therapy. Level of evidence: IV