 So, this is obviously a child with a severe contracture from Burriosa. And here it is mainly reconstruction to restore function of the hand. And the race is involved. And most of the deformity is due to the scar. So you excite the scar and then you release the contracture and you manipulate the limb into the functional position. And then sometimes it may be necessary to use some kashina wires to keep the limb in the functional position. And then you apply a skin graft to the defect. After a week the graft will have taken and then you start active and passive exercises, especially about the wrist joint, which is involved in this case.