Escharotomy and fasciotomy of the burned upper extremity

Escharotomy and fasciotomy are performed in the burned upper extremity to p revent and treat the sequelae of circumferential full-thickness bums and hi gh-voltage electrical burns. Indications to perform these procedures are de termined primarily by clinical examination but can be supplemented by measu rements of subfascial pressures. The techniques are designed to avoid furth er complications. Options for wound closure are discussed. The use of allog raft as temporary coverage of fasciotomy incisions may allow delayed primar y closure.