"Suture fixation of the fingers": an effective method for positioning burned and contracted fingers using a pulley system as a guide.

Preserving function of the hand is the aim of treatment in burned hands; appropriate splinting is one of the important measures during acute and chronic treatment. We introduce an effective safe method for positioning of fingers without violating the joints; In this method before performing skin graft for palmar finger burn or contracture release we suture tip of finger with silk 2-0 and fix it to dorsum of hand while extending the finger and for preventing slipping we insert some pulley like circles tied with silk 2-0 fixing over dorsum of mid phalanx.