Recently we experienced four cases with electrical hand injuries. Although electrical burns are generally classified as special thermal burns, they present extra problems with progressive necrosis. Burns from electricity more often have a prolonged healing time and results in more crippling deformities than do other thermal burns.
Our series of electrical hand injuries were covered with abdominal pedicle flap. Some of them required reconstructive procedures upon nerves, tendons and joints.
To achieve a good functional result, early pedicle closure and prevention of stiffness are important.