Post-Burn Syndactyly Reconstruction in a Patient with Extensive Hand Burns: Case Report and Functional Rehabilitation Strategies

We present the case of a 28-year-old female patient who suffered severe burns to both hands due to a domestic accident. The injuries resulted in secondary syndactyly caused by adhesions between the fingers, involving skin, subcutaneous tissue, and joints, leading to functional limitation and risk of permanent deformity. After initial evaluation and stabilization in the burn unit, detailed surgical markings were performed to plan interdigital separation and preserve critical structures such as tendons, nerves, and vessels. During the procedure, meticulous debridement was carried out, and split-thickness skin grafts from the inguinal region were applied to cover interdigital areas, promote reepithelialization, and minimize the risk of additional contractures. Postoperative management included early physiotherapy and occupational therapy, promoting recovery of mobility, grip strength, and fine motor function. The patient had a favorable evolution, achieving complete finger separation, preservation of hand functionality, and satisfactory aesthetic outcomes. This case highlights the importance of a comprehensive approach in complex hand burns, combining critical stabilization, precise surgical planning, use of appropriate grafts, and intensive rehabilitation to optimize functional and aesthetic recovery.