Extensive post-trauma destruction of the metacarpophalangeal and interphalangeal capsular structures of the hand was treated with autologous dermal grafts. Two cases were treated during the acute phase, the third one several years after the trauma occurred. The authors adopted such a technique because they are convinced that the use of tissue with characteristics more or less similiar to those of the destroyed structures can reduce the periarticular connective reaction and lead to more favorable scar formation. In addition, the immediate anatomical reconstruction, resulting in joint firmness, allows early physiotherapeutic treatment, which leads to the rapid resolution of edema and to functional resumption in a short time.
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