Surgical Modalities for Post Burn First Web Space Contracture Reconstruction

Background: For plastic and reconstructive surgeons, soft tissue reconstruction of the first web space remains a challenge. Hand burns frequently result in first web space adduction contractures. Many reconstructive techniques are employed, and research into more effective techniques is ongoing. Objective: To assess the outcome of various methods for covering the defect after the release of the first web space post burn contracture. Materials and Methods: 24 patients with ages ranging from 4 to 55 years; 17 males and 7 females were admitted to our hospital during the period from June 2020 to May 2022. All patients were suffering from post - burn first web space contractures. The patients underwent a variety of surgical procedures. Results: Full range of motion achieved in most patients using skin grafting followed by 5 - flap Z plasty. Conclusions: Surgical correction of first web space contractures in the form of flaps, followed by skin grafts, has resulted in significant functional improvement in our experience. The severity of the contracture determines the outcome. In our experience, functionally limiting recontracture is uncommon, and it is best avoided with appropriate therapy.