Five ears experience of post-burn contractures of the wrist and hands

ABSTRACT

This paper reviewed a series of 700 patients aged 3 to 35 years with post-burn contractures at different sites concentrating on the contractures of h and s and wrist. Early excision of the eschar and split thickness grafting were used to treat full thickness burns of the h and s [ten cases] and X-release that can be combined with split- skin grafting with an approximation of the V-shaped flaps [25 cases] to give consistently satisfactory results in one stage operation of broad contracture of the finger, but Z plasty gave satisfactory results for linear scars of fingers [ten cases]. Dynamic splintage is obligatory to avoid the recurrence of contracture in five cases of severe dorsal contracture holding all fingers and wrist in hyperextension