fig11

Figure 11. A circumferential hand burn (sparing part of the middle and index fingers) of a child falling into an incompletely extinguished campfire. The hand was grafted immediately on fat within a few days of injury with a large 6-inch-wide sheet STSG harvested from the back. The graft was wrapped around the ulnar side of the hand as one piece from the palm to the dorsum. The entire palm is covered with autograft, while the dorsal graft covers all but the dorsal middle finger and a small part of the index finger. At six months after injury, both grafts on the dorsum (A) and palm (B) have an excellent functional and cosmetic outcome. The patient’s guardian provided consent for the use of the picture. STSG: Split-thickness skin graft.