Gross deformity of thumb and finger corrected by combined ilizarov and jess external fixators

Postburn contractures are very common and severe in developing countries. The hand is a frequently encountered site. Postburn contractures of the hand and wrist can range from a minor cosmetic problem to a crippling condition. The standard treatment for these deformities has been by way of surgical release of the contractures, skin cover with split skin grafting or full thickness grafts followed by prolonged immobilization and splintage. However, these techniques are associated with numerous complications. The Ilizarov and JESS external fixator systems provide a versatile method of correcting postburn contracture by closed technique employing differential distraction, thereby avoiding the pitfalls of open surgery. We provide a unique case report of the combined use of Ilizarov and JESS in correcting a complex postburn thumb deformity in a young unmarried girl.