A cast of severe post burns contracture of the wrist, of 43 years dura
tion resulting in recurrent ulceration of the skin was successfully tr
eated by gradual distraction using the Ilizarov method. This method is
superior to plaster of Paris cast and is more versatile than other fo
rms of external fixation. (C) 1998 Elsevier Science Ltd for ISBI. Ali
rights reserved.