{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,5]],"date-time":"2025-03-05T05:49:45Z","timestamp":1741153785662,"version":"3.38.0"},"reference-count":50,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2024,9,18]],"date-time":"2024-09-18T00:00:00Z","timestamp":1726617600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,3,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Hand burns have a significant impact on the long-term function of burn patients. Recently, new protocols and technologies, such as dermal substitutes, have been introduced for the treatment of hand burns. This cross-sectional study investigates the preferred current management of acute hand burns and the role of dermal substitutes in treatment. A 10-question survey related to acute hand burns management was sent to 64 directors of American Burn Association (ABA)-verified burn centers. A total of 51.6% (n = 33) directors of ABA-verified burn centers responded to the survey. For the treatment of superficial partial-thickness hand burns, 90.9% preferred a nonoperative approach. Conversely, most respondents chose a single-stage excision and skin graft for deep partial-thickness hand burns (75.8%) and full-thickness hand burns (51.5%). However, for full-thickness hand burns, some surgeons prefer a 2-stage reconstruction involving excision and placement of a skin substitute (27.3%) or allograft (9.1%), followed by a skin graft. Only 6.1% would utilize a 3-stage reconstruction involving excision and allograft, excision and skin substitute, followed by skin grafting. Among surgeons who used skin substitutes (n = 26), Integra (42.3%) and Novosorb-Biodegradable Temporizing Matrix (23.1%) were preferred. The top reasons for choosing 1 specific dermal substitute were surgeon\u2019s preference (n = 20; 76.9%) and cost (n = 9; 34.6%). While a conservative nonoperative approach is preferred for superficial partial-thickness hand burns, excision and skin grafting as a 1-stage procedure remains the most common strategy for deep partial-thickness and full-thickness hand burns.<\/jats:p>","DOI":"10.1093\/jbcr\/irae184","type":"journal-article","created":{"date-parts":[[2024,9,18]],"date-time":"2024-09-18T16:11:57Z","timestamp":1726675917000},"page":"430-437","source":"Crossref","is-referenced-by-count":0,"title":["Management of Acute Hand Burns: A Survey of American Burn Association-Verified Burn Centers"],"prefix":"10.1093","volume":"46","author":[{"given":"Hilary Y","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery, University of Pittsburgh Medical Center , Pittsburgh, PA 15219 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