Most patients who have survived severe burn injury may not have truly escaped the aftermath of severe scars which is post burn contractures. Hands are one of the most prevalent site of burn injury leading to contractures, which are important in terms of function and cosmesis. There is great deal of functional limitation, whereof contractures in both hands can make a burn survivor a total cripple. Moreover poor cosmetic result must also be considered as it gives impact towards patients self-esteem and quality of life. Treatment algorithm must be based on clinical presentation and severity of range of motion. Release of contracture, wound resurfacing and choice of reconstructive procedures must be based on timing of scar maturity as well as through a case-by case approach.
Key words: post burn, hand contracture, reconstruction, management