الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Burn one of dangerous, harmful injuries that lift physical and psychological effect on patient and may lead to death or deformity or disability. Burn not only affect skin, but has many effects on all systems of body (e.g.: respiratory system, liver, kidney).
The most affected areas of the body with burn injures is the upper extremity specially the hands. Burns of these ”special areas” are considered severe because even a small wound may cause profound functional disability. So it is important to replace burnt areas with skin of similar characteristics to the native tissue especially in regions with requirements of elasticity, pliability and mobility such as the axilla, elbow, write and hand region to preserve the range of motion and consequently the limb function.
Resuscitation to patient with burn is very important to prevent dehydration of burnt patient and improve general condition and after debridement and grafting .full investigation and follow up especially of hemoglobin and albumin must done.
The purpose of this study was comparing of early excision and grafting and delayed grafting of deep burn of hand. In this study we compared a group A of 15 patients (11 male and 4 female) underwent early excision and grafting and group B of 15 patient (8 male and 7 female) underwent late grafting after conservative management with mean of age 29 of both groups.
The evaluation of function in both groups was based on the measurement of the graft intake, infection, contracture, scar and needing re-graft and itching.
Summary
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According to this study early excision and grafting of deep burnt hand were much better than delayed grafting after conservation. Complication like infection, contracture, graft loss and re-grafting in early excision and grafting is less than late grafting.
As itching score patient in early grafting is complaining of itching than patient of other group of late grafting, and according to Vancouver scale patient in early grafting less scar formation and hospital stay in comparison to patient of delayed grafting.