 The objective of this study was to evaluate the effectiveness of surgical management of post-burn scar extension contractures of the toes in children. The results showed that the modified Z-plasty, butterfly flap, technique, according to Hershowitz, was effective in correcting scar contractures of the anterior ankle in 89.5% of patients. Additionally, local flap surgery helped reconstruct mild scar contracture in 16% of cases, while tendon-articular structures were reconstructed in 24.4% of cases. Complications such as marginal necrosis of local flaps and transplanted full-thickness skin grafts were observed, in 4.6% and 3.5% of cases, respectively. Overall, the study concluded that surgical management of post-burn scar extension contractures of the toes in children is effective, and can be performed with low morbidity rates. This article was authored by E.K. Ibrahimov, A.A. Davlatov, M.K.H. Malikov, and others. We are article.tv, links in the description below.