Skin Graft for Burned Hand

Hand lesions are found in more than 75% of major burns and in 50% of all burned patients [1, 2]. Mismanaging this trauma has deleterious consequences on patient rehabilitation and may leave lifelong, disgraceful, and invalidating scars [3]. The dorsum of the hand is its social side and most frequently presents deep burns. Superficial burns heal spontaneously without any functional or cosmetic consequences. On the other extreme, third-degree burns, in the best of cases, frequently end with severe functional and cosmetic prejudices and may even necessitate in the worst situations finger or hand amputations. Although the management of a second-degree burned hand is one of the most challenging surgical lesions, it should be managed as any severe hand trauma and according to the standards of acute burn modern treatment. During the past 10 years, the authors developed a management concept based on those two fundamental principles.