DOI: 10.21276/sasjs.2017.3.12.3

Pages: 310-314

Post burn scarring of the hand in children mostly leads to flexion contracture involving the digits. The mainstay of management is release of fibrotic band with either STSG or FTG cover. Children of age (1-10yrs) with Mc Cauleys grade 3A & 4A were planned to undergo release of contracture with K wire fixation and graft cover. Children with single finger involvement were given FTG while rest of cases had combination of FTG and STSG. Significant rates of graft failure were found in the FTG group while the STSG group had higher rates of secondary contracture. In cases of flexion contractures in more than 3 fingers it is better to perform a STSG and follow a strict splinting protocol. If secondary contracture occurs it can be managed by FTG. For single fingers it is better to perform a FTG in the first setting itself.