• E Gachie and V Casoli.
• Service de chirurgie plastique-brûlés, centre François-Xavier-Michelet, CHU de Bordeaux, université Bordeaux-II-Victor-Segalen, place Amélie-Raba-Leon, 33076 Bordeaux, France.
• Ann Chir Plast Esthet. 2011 Oct 1; 56 (5): 454-65.

IntroductionHand burns are common. Aesthetic and functional consequences are mixed together.AnatomyPalmar and dorsal skin are very different. Palmar skin is thick and strong, dedicated to the prehension. Dorsal skin is very thin, creating a mobility plan dedicated to the flexion of the fingers.Aesthetic SequelaeThey are rarely isolated. Proximal nail retractions can occur after nail burns, with matricial exposition. We remove the scar and a full skin graft is done in order to give a normal proximal nail skin shape.Functional SequelaeThey are fingers and wrist retractions. We often use collagen substitute to cover soft tissue defect after scar excision. Commissure retractions are treated by trident plasty.Particular CasesElectrical burns: we expose the case of a thumb amputation after necrosis by electrical burn, secondary treated by index policization. Children burns: the bridles appear during the growth, so we must follow this patient for a long time.ConclusionHand burns are frequent. Functional sequelae are often important: retractions, amputations. The orthopaedic treatment of these retractions is unspecific. We often use collagen substitute in our unit. The patient must be involved in his treatment, because it is very long and difficult.Copyright © 2011 Elsevier Masson SAS. All rights reserved.

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