{"id":2092,"date":"2025-12-31T10:55:52","date_gmt":"2025-12-31T10:55:52","guid":{"rendered":"https:\/\/serdarnasir.com\/?page_id=2092"},"modified":"2026-10-20T14:46:27","modified_gmt":"2026-10-20T14:46:27","slug":"post-burn-hand-reconstruction","status":"publish","type":"page","link":"https:\/\/serdarnasir.com\/en\/hand-surgery\/post-burn-hand-reconstruction\/","title":{"rendered":"Post-Burn Hand Reconstruction"},"content":{"rendered":"\n\t<section class=\"section\" id=\"section_883898922\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n  <div id=\"page-header-682075808\" class=\"page-header-wrapper\">\n  <div class=\"page-title dark simple-title\">\n\n    \n    <div class=\"page-title-inner container align-center text-center flex-row-col medium-flex-wrap\" >\n              <div class=\"title-wrapper is-xlarge flex-col\">\n          <h1 class=\"entry-title mb-0\">\n            Post-Burn Hand Reconstruction in Ankara, Turkey          <\/h1>\n        <\/div>\n                    <div class=\"title-content flex-col\">\n        <div class=\"title-breadcrumbs pb-half pt-half\"><\/div>      <\/div>\n    <\/div>\n\n     \n<style>\n#page-header-682075808 .page-title-inner {\n  min-height: 150px;\n}\n#page-header-682075808 .title-overlay {\n  background-color: rgba(255, 255, 255, 0);\n}\n<\/style>\n  <\/div>\n    <\/div>\n  \n\t\t<\/div>\n\n\t\t\n<style>\n#section_883898922 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n  background-color: #213360;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_2137819278\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-940108844\">\n\n\t<div id=\"col-1258664328\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p>Post-burn hand reconstruction aims to restore both function and appearance after thermal, chemical, or electrical injuries that damage hand tissues. The hand is one of the most burn-prone areas, and without timely intervention, serious limitations in motion can develop.<\/p>\n<p>Treatment is planned according to the depth and extent of the burn. While superficial burns may heal with conservative care, deep partial-thickness and full-thickness burns may require skin grafting or flap surgery. Proper positioning that keeps the fingers extended plays a key role in preventing contractures.<\/p>\n<p>After early wound management, scar tissue and contractures may form and severely restrict hand function. In such cases, reconstructive procedures are performed to restore finger and joint motion. Tendon and nerve repairs may also be required.<\/p>\n<p>Rehabilitation is an essential part of post-burn hand reconstruction. Physical therapy, occupational therapy, and custom splints help maintain mobility. Long-term follow-up and individualized exercise programs are effective in preventing permanent functional loss.<\/p>\n<table>\n<tbody>\n<tr>\n<td>Things You Should Know<\/td>\n<td>Information<\/td>\n<\/tr>\n<tr>\n<td>Definition<\/td>\n<td>Post-burn hand reconstruction includes surgical and conservative treatments for tissue loss, contractures, and functional impairment caused by thermal, chemical, or electrical burns of the hand.<\/td>\n<\/tr>\n<tr>\n<td>Goals<\/td>\n<td>Restoring hand functions (grip, grasp, finger motion), releasing contractures, preserving sensation, improving aesthetic appearance, and enabling return to daily activities.<\/td>\n<\/tr>\n<tr>\n<td>Affected Structures<\/td>\n<td>Skin, subcutaneous tissues, tendons, nerves, vessels, muscles, joints, and bones\u2014especially the fingers, palm, and dorsum of the hand.<\/td>\n<\/tr>\n<tr>\n<td>Common Problems<\/td>\n<td>&#8211; Skin loss &#8211; Scars &#8211; Joint contractures &#8211; Sensory disturbances &#8211; Aesthetic deformities &#8211; Functional limitations<\/td>\n<\/tr>\n<tr>\n<td>Surgical Methods<\/td>\n<td>&#8211; Skin grafting (split-thickness, full-thickness) &#8211; Flap surgery (local, regional, or free flaps) &#8211; Z-plasty and other contracture release techniques &#8211; Tendon, nerve, and vessel repairs &#8211; Arthrodesis or osteotomy &#8211; Microsurgical reconstructions<\/td>\n<\/tr>\n<tr>\n<td>Conservative Treatments<\/td>\n<td>Pressure therapy (compression garments), silicone sheets, splinting, physical therapy, and hand rehabilitation.<\/td>\n<\/tr>\n<tr>\n<td>Rehabilitation<\/td>\n<td>Early passive and active range-of-motion exercises, splinting, edema control, scar management, strengthening, and functional use training.<\/td>\n<\/tr>\n<tr>\n<td>Treatment Course<\/td>\n<td>Varies with burn severity; after acute-phase care, reconstruction and rehabilitation continue through subacute and chronic phases. The course is often long and requires a multidisciplinary approach.<\/td>\n<\/tr>\n<tr>\n<td>Complications<\/td>\n<td>Permanent joint stiffness, aesthetic problems, muscle and tendon weakness, nerve lesions, infection, graft\/flap failure.<\/td>\n<\/tr>\n<tr>\n<td>Assessment Tools<\/td>\n<td>Total Active Motion (TAM), grip-strength measurements, DASH score (Disabilities of the Arm, Shoulder and Hand), wound-healing assessment criteria.<\/td>\n<\/tr>\n<tr>\n<td>Psychosocial Support<\/td>\n<td>Because of aesthetic deformities and functional loss, psychological support, counseling, and social reintegration support may be needed.<\/td>\n<\/tr>\n<tr>\n<td>Long-Term Follow-Up<\/td>\n<td>Regular follow-up is necessary to maintain functional gains, prevent recurrence of deformities, and determine whether additional surgery is needed.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1258664328 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_2137819278 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1559475901\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-2092756433\">\r\n\r\n\n\t<div id=\"col-749865105\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner dark\" style=\"background-color:#213360;\" >\n\t\t\t\n\t\t\t\r\n\r\n<div class=\"row align-middle\"  id=\"row-288942576\">\r\n\r\n\n\t<div id=\"col-1046167670\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div class=\"img has-hover border-gorsel x md-x lg-x y md-y lg-y\" id=\"image_992140486\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"533\" height=\"800\" src=\"https:\/\/serdarnasir.com\/wp-content\/uploads\/2026\/01\/DSC08566-1-533x800.webp\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/serdarnasir.com\/wp-content\/uploads\/2026\/01\/DSC08566-1-533x800.webp 533w, https:\/\/serdarnasir.com\/wp-content\/uploads\/2026\/01\/DSC08566-1-267x400.webp 267w, https:\/\/serdarnasir.com\/wp-content\/uploads\/2026\/01\/DSC08566-1.webp 720w\" sizes=\"(max-width: 533px) 100vw, 533px\" \/>\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n<style>\n#image_992140486 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1046167670 > .col-inner {\n  margin: 0px 0px -10px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-173691011\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-948584637\" class=\"text\">\n\t\t\r\n\r\n<div><strong><span style=\"font-size: 110%;\">Prof. Dr. Serdar Nas\u0131r<\/span><\/strong><strong><span style=\"font-size: 63%;\"><br \/>Specialist in Plastic, Reconstructive and Aesthetic Surgery, Hand Surgery<\/span><\/strong><\/div>\r\n\r\n\t\t\n<style>\n#text-948584637 {\n  font-size: 1.55rem;\n}\n@media (min-width:550px) {\n  #text-948584637 {\n    font-size: 1.85rem;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n<p>He completed his medical education at Ankara University Faculty of Medicine in 1996 and his specialty training between 1996\u20132002 at Hacettepe University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery.<\/p>\r\n<p>Between 2002\u20132009, he worked at S\u00fcleyman Demirel University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery.<\/p>\r\n<p>Since 2009, he has been working at Hacettepe University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery. He received the title of Associate Professor in 2011. In 2019, Dr. Nas\u0131r became a Professor and continues to work as a faculty member in this position.<\/p>\r\n<a href=\"\/en\/about-me\/\" class=\"button white\" style=\"border-radius:5px;\">\n\t\t<span>View More<\/span>\n\t<\/a>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-173691011 > .col-inner {\n  margin: 0px 0px -10px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-749865105 > .col-inner {\n  padding: 30px 25px 0px 25px;\n  margin: 0px 0px -30px 0px;\n  border-radius: 30px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1559475901 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1862926327\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-328845507\">\n\n\t<div id=\"col-76933089\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/post-burn-hand-reconstruction\/#What_Is_Post-Burn_Hand_Reconstruction\" >What Is Post-Burn Hand Reconstruction?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/post-burn-hand-reconstruction\/#How_Does_the_Hands_Anatomy_Make_Burn_Treatment_More_Challenging\" >How Does the Hand\u2019s Anatomy Make Burn Treatment More Challenging?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/post-burn-hand-reconstruction\/#What_Should_Be_Considered_When_Burn_Depth_Determines_the_Treatment_Plan\" >What Should Be Considered When Burn Depth Determines the Treatment Plan?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/post-burn-hand-reconstruction\/#What_Are_Common_Mistakes_at_the_Moment_of_a_Burn_and_What_Should_First_Aid_Be\" >What Are Common Mistakes at the Moment of a Burn, and What Should First Aid Be?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/post-burn-hand-reconstruction\/#Why_Can_Escharotomy_Be_Vital_for_Saving_the_Hand\" >Why Can Escharotomy Be Vital for Saving the Hand?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/post-burn-hand-reconstruction\/#When_Is_the_Right_Timing_for_Reconstructive_Surgery\" >When Is the Right Timing for Reconstructive Surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/post-burn-hand-reconstruction\/#Which_Factors_Influence_Success_in_Repair_With_Skin_Grafts\" >Which Factors Influence Success in Repair With Skin Grafts?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/post-burn-hand-reconstruction\/#How_Do_Z-Plasty_and_Local_Tissue_Rearrangement_Relieve_Tightness\" >How Do Z-Plasty and Local Tissue Rearrangement Relieve Tightness?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/post-burn-hand-reconstruction\/#When_Is_the_%E2%80%9CGroin_Flap%E2%80%9D_Procedure_Used\" >When Is the \u201cGroin Flap\u201d Procedure Used?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/post-burn-hand-reconstruction\/#How_Does_Scarless_Repair_With_Tissue_Expanders_Work\" >How Does Scarless Repair With Tissue Expanders Work?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/post-burn-hand-reconstruction\/#How_Can_Hand_Function_Be_Restored_With_Tendon_Transfers\" >How Can Hand Function Be Restored With Tendon Transfers?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/post-burn-hand-reconstruction\/#How_Does_Physical_Therapy_Influence_Surgical_Success\" >How Does Physical Therapy Influence Surgical Success?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/post-burn-hand-reconstruction\/#What_Is_a_Marjolin_Ulcer_and_Why_Is_Long-Term_Follow-Up_Necessary\" >What Is a Marjolin Ulcer and Why Is Long-Term Follow-Up Necessary?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/post-burn-hand-reconstruction\/#Frequently_Asked_Questions\" >Frequently Asked Questions<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"What_Is_Post-Burn_Hand_Reconstruction\"><\/span>What Is Post-Burn Hand Reconstruction?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Post-burn hand reconstruction includes surgical and rehabilitative treatments that address damage to the skin, muscles, tendons, and joints caused by burns. The goals are to restore hand function, reduce movement limitation, and improve aesthetic appearance. Reconstructive techniques such as contracture release, skin grafting, and flap procedures may be used. Early intervention and consistent physical therapy play an important role in treatment success.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_Does_the_Hands_Anatomy_Make_Burn_Treatment_More_Challenging\"><\/span>How Does the Hand\u2019s Anatomy Make Burn Treatment More Challenging?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>From a burn surgery perspective, the hand\u2019s anatomy is a true \u201cknife-edge\u201d balance. By nature, the hand is both remarkably resilient and surprisingly fragile. On the back of the hand, the skin is extremely thin\u2014almost paper-like. This thinness allows the skin to glide smoothly when we make a fist. But in a burn injury, the same feature becomes a major disadvantage. A thin barrier cannot hold heat, so a burn can deepen quickly and reach the tendons and joints just underneath.<\/p>\n<p>On the other hand, the palm is thick and tough to support gripping. While this skin is more heat-resistant, healing creates a different problem: palmar burns have a strong tendency to contract during healing. Without proper intervention, the fingers can pull into the palm and the hand may become difficult\u2014or even impossible\u2014to open. Because of the amount of function packed into a very small surface area, hand burns require highly specialized care compared to burns in other body regions.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Should_Be_Considered_When_Burn_Depth_Determines_the_Treatment_Plan\"><\/span>What Should Be Considered When Burn Depth Determines the Treatment Plan?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The most important compass guiding our treatment roadmap is burn depth. Burns can range from superficial redness to injuries that extend down to bone. Correctly identifying depth is essential to avoid unnecessary surgery\u2014or, conversely, to prevent delayed interventions.<\/p>\n<p>First-degree burns are the kind many people experience after excessive sun exposure and usually do not require surgery. However, second- and third-degree burns change the picture. In \u201cdeep second-degree\u201d burns, the skin tries to regenerate but tends to produce excessive scar tissue, which can form stiff bands that limit motion. In third-degree burns, all layers of the skin are lost; the body no longer has the capacity to repair the area, so skin transfer becomes necessary. Fourth-degree burns are the most severe and involve muscle and bone, often requiring tissue transfer with microsurgical techniques.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Are_Common_Mistakes_at_the_Moment_of_a_Burn_and_What_Should_First_Aid_Be\"><\/span>What Are Common Mistakes at the Moment of a Burn, and What Should First Aid Be?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>What is done immediately after a burn can influence the success of surgeries performed months later. Many widely believed home remedies can unfortunately increase tissue damage. The first goal is to reduce the heat within the tissue and prevent the burn from progressing deeper.<\/p>\n<p>The most important correct actions at the moment of injury include:<\/p>\n<ul>\n<li>Rinsing with tap water<\/li>\n<li>Removing jewelry<\/li>\n<li>Covering with a clean cloth<\/li>\n<li>Eliminating chemical agents (in chemical burns)<\/li>\n<\/ul>\n<p>One of the most common mistakes is applying ice directly to the burn. Ice constricts blood vessels in already injured tissue, can severely reduce blood flow, and may deepen the injury. Instead, 15\u201320 minutes of cool or lukewarm running water is usually sufficient. Rings, watches, and bracelets should be removed immediately because swelling can turn them into a tourniquet that compromises circulation.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Why_Can_Escharotomy_Be_Vital_for_Saving_the_Hand\"><\/span>Why Can Escharotomy Be Vital for Saving the Hand?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In deep burns, the skin loses elasticity and becomes a hard, dead tissue layer known as eschar\u2014almost like armor. This tissue does not stretch. Meanwhile, swelling develops rapidly underneath as fluid accumulates. Because the rigid eschar cannot expand, pressure rises uncontrollably, similar to a sealed pressure cooker. The pressure can become so high that it compresses the vessels supplying the hand and fingers, stopping blood flow.<\/p>\n<p>If this is not addressed urgently, fingers can be lost within hours. This is where an escharotomy becomes life-saving. In the operating room\u2014or in extreme emergencies at the bedside\u2014we make long incisions along the sides of the hand through the eschar. As soon as the eschar is released, tissues decompress, vessels reopen, and blood flow to the fingertips can return. This is not an aesthetic procedure; it is an emergency measure to keep the limb viable.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"When_Is_the_Right_Timing_for_Reconstructive_Surgery\"><\/span>When Is the Right Timing for Reconstructive Surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Timing in post-burn hand reconstruction requires patience and experience. Performing aesthetic corrections immediately after wound closure is usually not ideal because burn scars are biologically active. In the first months, scars are red, firm, and raised. Surgery during this phase can increase bleeding risk and may lead to poorer scar outcomes.<\/p>\n<p>Our general approach is to wait for scar maturation\u2014when the scar softens and fades\u2014which typically takes about 6 months to 1 year, although it varies from person to person. However, waiting is not always possible.<\/p>\n<p>Situations that may require earlier surgery include:<\/p>\n<ul>\n<li>Inability to close the eyelid<\/li>\n<li>Complete blockage of finger motion<\/li>\n<li>Inability to open the mouth<\/li>\n<li>Risk of permanent joint stiffness<\/li>\n<li>Growth restriction in children<\/li>\n<\/ul>\n<p>In these functional urgency scenarios, we intervene before scars fully mature because prolonged immobility can cause irreversible joint changes and stiffness.<\/p>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-76933089 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1862926327 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1287770390\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-627626330\">\r\n\r\n\n\t<div id=\"col-1750184952\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(33, 51, 96);border-radius:10px;border-width:2px 2px 2px 2px;\">\n\t<\/div>\n\t\t\t\r\n\r\n<div class=\"row align-middle\"  id=\"row-766153090\">\r\n\r\n\n\t<div id=\"col-881418527\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-2341640793\" class=\"text\">\n\t\t\r\n\r\n<div><strong>Contact us to get information about treatments and create an appointment!<\/strong><\/div>\r\n\t\t\n<style>\n#text-2341640793 {\n  font-size: 1.25rem;\n  text-align: center;\n  color: #213360;\n}\n#text-2341640793 > * {\n  color: #213360;\n}\n@media (min-width:550px) {\n  #text-2341640793 {\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\n\t<div id=\"col-865251778\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner text-right\"  >\n\t\t\t\n\t\t\t\r\n\r\n<a href=\"https:\/\/api.whatsapp.com\/send\/?phone=905330852159\" class=\"button success\" style=\"border-radius:5px;\" target=\"_blank\" rel=\"noopener\">\n\t\t<span>Contact via WhatsApp<\/span>\n\t<i class=\"icon-whatsapp\" aria-hidden=\"true\"><\/i><\/a>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1750184952 > .col-inner {\n  padding: 30px 15px 0px 15px;\n  margin: 0px 0px -30px 0px;\n}\n@media (min-width:550px) {\n  #col-1750184952 > .col-inner {\n    padding: 30px 20px 0px 20px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1287770390 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1206373245\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-429987107\">\n\n\t<div id=\"col-2014370265\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"Which_Factors_Influence_Success_in_Repair_With_Skin_Grafts\"><\/span>Which Factors Influence Success in Repair With Skin Grafts?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The most fundamental way to cover soft-tissue loss is with skin grafts\u2014commonly called \u201cskin patches.\u201d We harvest healthy skin from less visible areas such as the thigh or abdomen and transfer it to the burned region. In hand reconstruction, choosing the graft type is a critical decision.<\/p>\n<p>We mainly use two types of grafts:<\/p>\n<ul>\n<li>Split-thickness skin grafts<\/li>\n<li>Full-thickness skin grafts<\/li>\n<\/ul>\n<p>Split-thickness grafts are lifesaving for covering large areas and the donor site can heal on its own. However, they tend to contract as they heal. In areas where motion is vital\u2014such as the dorsum of the hand or finger joints\u2014this contraction can limit movement.<\/p>\n<p>For this reason, we often prefer full-thickness grafts on the palm and the inner surfaces of the fingers. These grafts are thicker, contract less, are more elastic, and better tolerate pressure. Their drawback is that they can be more demanding to \u201ctake.\u201d The hand must be kept still after surgery and blood must not collect under the graft. We explain carefully why immobilization is essential for the graft to adhere properly.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_Do_Z-Plasty_and_Local_Tissue_Rearrangement_Relieve_Tightness\"><\/span>How Do Z-Plasty and Local Tissue Rearrangement Relieve Tightness?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Sometimes a burn does not leave a wide open defect, but instead creates a tight, cord-like band that blocks finger extension. The patient wants to straighten the finger, but the band pulls the skin and prevents motion. In such cases, instead of using a graft, we may use geometric rearrangement techniques.<\/p>\n<p>Z-plasty is one of the cornerstones of plastic surgery. By making Z-shaped incisions across the tight band, we change the direction of the scar. This both lengthens the tight line and redirects tension, allowing movement to return.<\/p>\n<p>In web-space contractures and finger adhesions (secondary syndactyly), we often design local flaps using healthy side skin of the fingers. This well-vascularized tissue is moved to the burned area. Because it carries its own blood supply, it tends to heal with better quality and does not contract like a graft.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"When_Is_the_%E2%80%9CGroin_Flap%E2%80%9D_Procedure_Used\"><\/span>When Is the \u201cGroin Flap\u201d Procedure Used?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In severe burns, damage can be so deep that bones, tendons, or nerves remain exposed. A skin graft cannot be placed directly on these structures because there is no viable bed to nourish the graft. In such cases, we use tissue transfer techniques. One classic and still reliable option is the groin flap.<\/p>\n<p>This procedure can be challenging for patients. We elevate healthy tissue from the lower abdomen\/groin with a vascular \u201cpedicle,\u201d and place the hand under that tissue through a tunnel\u2014meaning the hand stays attached to the groin for about three weeks.<\/p>\n<p>The main difficulties include:<\/p>\n<ul>\n<li>Challenges with personal care<\/li>\n<li>Shoulder and elbow discomfort<\/li>\n<li>Restricted sleeping positions<\/li>\n<li>Psychological stress<\/li>\n<\/ul>\n<p>During this period, the tissue is nourished by groin vessels. After about three weeks, the hand develops its own blood supply to the transferred tissue, and in a second operation we divide the flap. This \u201cbiologic dressing\u201d can be a safe solution that prevents amputation in cases where modern microsurgical options are too risky.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_Does_Scarless_Repair_With_Tissue_Expanders_Work\"><\/span>How Does Scarless Repair With Tissue Expanders Work?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>One of the most fascinating tools in plastic surgery is the tissue expander. Skin can stretch and generate additional surface area when placed under gradual tension\u2014similar to how abdominal skin expands during pregnancy. We use this principle therapeutically to remove burn scars and replace them with nearby, high-quality skin.<\/p>\n<p>The process works like this: we place a deflated silicone balloon under healthy skin adjacent to the burn scar. Once the incision heals, the patient visits weekly and we inject saline into the expander, slowly inflating it. As it expands, the overlying skin stretches and increases in surface area.<\/p>\n<p>Advantages of tissue expansion include:<\/p>\n<ul>\n<li>Excellent color and texture match<\/li>\n<li>No \u201cpatch\u201d appearance<\/li>\n<li>No additional major scarring<\/li>\n<li>Preservation of hair follicles and sweat glands<\/li>\n<\/ul>\n<p>When enough extra skin is created\u2014usually after 2\u20133 months\u2014we remove the expander in a second procedure, excise the burn scar, and advance the expanded skin to close the area. This approach can provide the most aesthetically satisfying results, particularly for larger scars on the dorsum of the hand and forearm.<\/p>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-2014370265 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1206373245 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1538734501\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-1000544464\">\r\n\r\n\n\t<div id=\"col-102685312\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(33, 51, 96);border-radius:10px;border-width:2px 2px 2px 2px;\">\n\t<\/div>\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-1726472074\">\r\n\r\n\n\t<div id=\"col-77523330\" class=\"col medium-7 small-12 large-7\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-591343157\" class=\"text\">\n\t\t\r\n\r\n<p><strong>Contact Us!<\/strong><\/p>\r\n\t\t\n<style>\n#text-591343157 {\n  font-size: 2rem;\n  text-align: center;\n  color: #1f437b;\n}\n#text-591343157 > * {\n  color: #1f437b;\n}\n@media (min-width:550px) {\n  #text-591343157 {\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\t<div id=\"text-2897563256\" class=\"text\">\n\t\t\r\n\r\n<div>Contact us to get information about treatments and create an appointment!<\/div>\r\n\t\t\n<style>\n#text-2897563256 {\n  font-size: 1.25rem;\n  text-align: center;\n  color: #2d304e;\n}\n#text-2897563256 > * {\n  color: #2d304e;\n}\n@media (min-width:550px) {\n  #text-2897563256 {\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-77523330 > .col-inner {\n  margin: 0px 0px 0px 0px;\n}\n@media (min-width:550px) {\n  #col-77523330 > .col-inner {\n    margin: 0px 0px -30px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-335143039\" class=\"col medium-5 small-12 large-5\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1791-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"1791\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/2092#wpcf7-f1791-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1791\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.2.3\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1791-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"randevu-form\">\n\t<div class=\"form-row\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-340\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Full Name\" value=\"\" type=\"text\" name=\"text-340\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel-10\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Phone\" value=\"\" type=\"tel\" name=\"tel-10\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-full\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-342\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Briefly write the subject\" value=\"\" type=\"text\" name=\"text-342\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p><button type=\"submit\">Create Appointment<\/button>\n\t<\/p>\n<\/div><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"242\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-335143039 > .col-inner {\n  margin: 0px 0px -20px 0px;\n}\n@media (min-width:550px) {\n  #col-335143039 > .col-inner {\n    margin: 0px 0px -30px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-102685312 > .col-inner {\n  padding: 30px 15px 0px 15px;\n  margin: 0px 0px -30px 0px;\n}\n@media (min-width:550px) {\n  #col-102685312 > .col-inner {\n    padding: 30px 20px 0px 20px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1538734501 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1678260884\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-657143074\">\n\n\t<div id=\"col-259853484\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"How_Can_Hand_Function_Be_Restored_With_Tendon_Transfers\"><\/span>How Can Hand Function Be Restored With Tendon Transfers?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Unfortunately, deep burns can destroy not only skin but also the motor units that move the fingers\u2014muscles and tendons. Sometimes the skin is repaired but the patient still cannot lift the finger because the tendon has been burned or has become severely adherent. This is when tendon transfer surgery becomes relevant.<\/p>\n<p>Some muscles and tendons in the body have redundancy or can be reassigned without causing major loss. In tendon transfer, we detach the tendon of a working muscle and connect it to the tendon of a non-functioning muscle, effectively re-routing power from a functioning \u201cengine\u201d to a paralyzed movement.<\/p>\n<p>After surgery, the most critical step is that the brain must learn the new wiring. The patient must relearn how to use a muscle that previously served one action to produce a new movement. This neurologic adaptation requires intensive therapy and patience.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_Does_Physical_Therapy_Influence_Surgical_Success\"><\/span>How Does Physical Therapy Influence Surgical Success?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In burn reconstruction, surgery is only half the work; the other half is rehabilitation. Even the most technically perfect procedure can fail functionally if the patient does not undergo effective therapy. A burned hand naturally tends to close and stiffen due to pain avoidance and scar contraction. If left alone, a claw-like deformity can develop.<\/p>\n<p>Key tools in rehabilitation include:<\/p>\n<ul>\n<li>Custom thermoplastic splints<\/li>\n<li>Compression garments<\/li>\n<li>Silicone gel sheets<\/li>\n<li>Stretching exercises<\/li>\n<\/ul>\n<p>Compression garments are particularly important to reduce hypertrophic scar formation. They often must be worn for up to 23 hours a day for months. For many patients, this phase can be more exhausting than surgery itself due to constant pressure, itching, and heat. Still, meticulous rehab is essential to achieve a functional hand.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Is_a_Marjolin_Ulcer_and_Why_Is_Long-Term_Follow-Up_Necessary\"><\/span>What Is a Marjolin Ulcer and Why Is Long-Term Follow-Up Necessary?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>A burn is not an injury we can simply say is \u201cover.\u201d It leaves lifelong scar tissue and requires long-term vigilance. Changes can occur even years\u2014sometimes decades\u2014later. The most concerning long-term complication is a Marjolin ulcer, an aggressive type of skin cancer that can develop in old burn scars.<\/p>\n<p>Warning signs include:<\/p>\n<ul>\n<li>Non-healing wounds<\/li>\n<li>Sudden bleeding on the scar<\/li>\n<li>Foul odor<\/li>\n<li>New firmness or hardening<\/li>\n<li>Rapidly growing masses<\/li>\n<\/ul>\n<p>We always advise patients: if a burn scar from years ago suddenly opens into a wound that does not heal, do not waste time with home creams. A biopsy and timely treatment are necessary. Early diagnosis is lifesaving in such aggressive conditions.<\/p>\n\t<div id=\"text-692825369\" class=\"text\">\n\t\t\n<h2><span class=\"ez-toc-section\" id=\"Frequently_Asked_Questions\"><\/span>Frequently Asked Questions<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\t\t\n<style>\n#text-692825369 {\n  font-size: 1.25rem;\n}\n<\/style>\n\t<\/div>\n\t\n<div class=\"accordion\">\n\t<div id=\"accordion-2152900788\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2152900788-label\" class=\"accordion-title plain\" href=\"#accordion-item-why-do-post-burn-hand-reconstructions-require-specialized-expertise?\" aria-expanded=\"false\" aria-controls=\"accordion-2152900788-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Why do post-burn hand reconstructions require specialized expertise?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2152900788-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2152900788-label\">\n\t\t\t\n<p>The hand is a complex organ containing many tendons, nerves, vessels, and joints. Because burns can cause both functional and aesthetic loss, surgical and rehabilitation processes should be managed by specialists experienced in microsurgery and reconstruction.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3861673389\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3861673389-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-are-the-most-common-complications-after-hand-burns?\" aria-expanded=\"false\" aria-controls=\"accordion-3861673389-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What are the most common complications after hand burns?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3861673389-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3861673389-label\">\n\t\t\t\n<p>Contractures, nerve damage, limited motion, finger adhesions, and thick scar tissue are common complications after hand burns. These issues can lead to significant loss of function.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2114435501\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2114435501-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-can-contracture-development-be-prevented-after-hand-burns?\" aria-expanded=\"false\" aria-controls=\"accordion-2114435501-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How can contracture development be prevented after hand burns?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2114435501-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2114435501-label\">\n\t\t\t\n<p>Early wound care, splinting the hand in a functional position, and regular therapy can reduce the risk of contractures. In some cases, skin grafting or tissue-expansion surgery may be needed.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-553207542\" class=\"accordion-item\">\n\t\t<a id=\"accordion-553207542-label\" class=\"accordion-title plain\" href=\"#accordion-item-which-surgical-methods-are-used-in-post-burn-hand-reconstruction?\" aria-expanded=\"false\" aria-controls=\"accordion-553207542-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Which surgical methods are used in post-burn hand reconstruction?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-553207542-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-553207542-label\">\n\t\t\t\n<p>Skin grafts, flap surgery, Z-plasty techniques, tendon reconstructions, and nerve repairs are commonly used methods. The aim is to restore both hand motion and skin quality.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1225344308\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1225344308-label\" class=\"accordion-title plain\" href=\"#accordion-item-when-should-surgery-be-planned-in-post-burn-hand-reconstruction?\" aria-expanded=\"false\" aria-controls=\"accordion-1225344308-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>When should surgery be planned in post-burn hand reconstruction?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1225344308-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1225344308-label\">\n\t\t\t\n<p>While superficial burns usually do not require surgery, deep burns are planned either before contractures become established or after scar tissue stabilizes. This timing can range from a few weeks to a few months depending on the case.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2331347055\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2331347055-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-long-should-physical-therapy-continue-after-hand-burns?\" aria-expanded=\"false\" aria-controls=\"accordion-2331347055-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How long should physical therapy continue after hand burns?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2331347055-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2331347055-label\">\n\t\t\t\n<p>Therapy begins early in healing and may continue for months. A structured exercise program is essential to preserve finger motion, grip strength, and tendon gliding.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3139397841\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3139397841-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-is-post-burn-hand-reconstruction-different-in-children?\" aria-expanded=\"false\" aria-controls=\"accordion-3139397841-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How is post-burn hand reconstruction different in children?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3139397841-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3139397841-label\">\n\t\t\t\n<p>In growing children, contractures can negatively affect hand development. Earlier surgical intervention and longer rehabilitation may be needed, and in some cases repeated reconstructions may be required.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-3879247867\" class=\"accordion-item\">\n\t\t<a id=\"accordion-3879247867-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-are-hand-burn-scars-treated-aesthetically?\" aria-expanded=\"false\" aria-controls=\"accordion-3879247867-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How are hand burn scars treated aesthetically?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-3879247867-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-3879247867-label\">\n\t\t\t\n<p>To improve skin quality and reduce scar appearance, treatments such as laser therapy, fat grafting, dermabrasion, and scar revision can be used. These procedures may also provide psychological relief by improving appearance.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2300691408\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2300691408-label\" class=\"accordion-title plain\" href=\"#accordion-item-can-sensory-loss-return-after-post-burn-hand-reconstruction?\" aria-expanded=\"false\" aria-controls=\"accordion-2300691408-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Can sensory loss return after post-burn hand reconstruction?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2300691408-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2300691408-label\">\n\t\t\t\n<p>If nerve damage is present, full sensory recovery is not always possible. However, partial sensory improvement may be achieved with nerve grafts or nerve reconstruction procedures.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1256642575\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1256642575-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-do-post-burn-hand-reconstructions-affect-a-person-psychologically?\" aria-expanded=\"false\" aria-controls=\"accordion-1256642575-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How do post-burn hand reconstructions affect a person psychologically?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1256642575-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1256642575-label\">\n\t\t\t\n<p>Changes in hand appearance and loss of function can negatively affect social and emotional life. Successful surgery and rehabilitation can improve self-confidence and support psychological recovery.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1702923788\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1702923788-label\" class=\"accordion-title plain\" href=\"#accordion-item-which-department-or-doctor-should-be-consulted-for-post-burn-hand-reconstruction?\" aria-expanded=\"false\" aria-controls=\"accordion-1702923788-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Which Department or Doctor Should Be Consulted for Post-Burn Hand Reconstruction?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1702923788-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1702923788-label\">\n\t\t\t\n<p>For post-burn hand reconstruction, the Plastic, Reconstructive and Aesthetic Surgery department should be consulted. Specialists in this field repair burn-related tissue loss, contractures, and deformities to improve both hand function and appearance.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n<\/div>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-259853484 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1678260884 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":1977,"parent":1906,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-blank.php","meta":{"footnotes":""},"class_list":["post-2092","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages\/2092","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/comments?post=2092"}],"version-history":[{"count":2,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages\/2092\/revisions"}],"predecessor-version":[{"id":2109,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages\/2092\/revisions\/2109"}],"up":[{"embeddable":true,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages\/1906"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/media\/1977"}],"wp:attachment":[{"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/media?parent=2092"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}