Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with post-burn syndactyly involving [Digit/Web Space], secondary to [Thermal/Chemical/Electrical] injury sustained [Timeframe] ago. Patient reports progressive functional limitation, restricted range of motion, and difficulty with fine motor tasks. No history of recent infection or ulceration in the affected web space.
Clinical Examination Findings
Examination reveals cicatricial webbing between [Digits]. Skin is characterized by hypertrophic scarring, decreased elasticity, and tethering of the interdigital commissure. Passive abduction of digits is restricted to [Degrees]. Neurovascular status is intact with palpable distal pulses and preserved capillary refill. No signs of active inflammation or purulent discharge.
Treatment Protocol
Recommended surgical intervention: Z-plasty or full-thickness skin grafting (FTSG) for web space reconstruction. Post-operative plan includes immobilization with a splint in abduction, followed by aggressive physical therapy and silicone gel sheeting for scar management. Serial monitoring for recurrence of contracture is required.