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Published on: February 10, 2026
Management of postburn digital flexion contractures
Fahim Ullah1, Obaidullah, Mohammad Tahir
1Department of Plastic Surgey, PGMI, HMMC, Peshawar.
Summary
Split-thickness skin grafts effectively managed postburn digital flexion contractures, significantly improving range of motion and cosmetic outcomes. This study highlights their superiority over conventional methods for hand reconstruction.
Area of Science:
- Plastic and Reconstructive Surgery
- Burn Management
- Hand Surgery
Background:
- Postburn digital flexion contractures significantly impair hand function and aesthetics.
- Conventional skin grafting techniques often yield suboptimal functional and cosmetic results.
Purpose of the Study:
- To evaluate the efficacy of plantar/palmer split-thickness skin grafts in managing postburn digital flexion contractures.
- To assess functional (range of motion, sensibility) and cosmetic (color, texture match) improvements.
Main Methods:
- An interventional quasi-experimental study involving 50 patients with postburn digital flexion contractures.
- Contracture release followed by plantar/palmer split-thickness skin grafting.
- Pre- and postoperative active range of motion (ROM) measurements, with one-year follow-up assessing graft take, recurrence, color/texture match, sensibility, and donor site morbidity.
Main Results:
- Complete graft take in 96% of patients; 10% recurrence rate.
- Significant improvement in median active ROM at the proximal interphalangeal (PIP) joint from 60-90 degrees preoperatively to 0-90 degrees postoperatively.
- Satisfactory graft color and texture match, good sensory return, and no significant donor site morbidity reported.
Conclusions:
- Plantar/palmer split-thickness skin grafts provide excellent cosmetic and functional outcomes for postburn digital flexion contractures.
- These grafts demonstrate superior results in terms of range of motion and sensibility compared to conventional grafting techniques.
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