Female patient got her hand trapped in between tow heavy duty/ high pressure rollers which were also heated. Unfortunately only the thumb survived after debridement. Every time a mangled tissue gets exposed to heat/burned, the chances of survival drop dramatically, this is due to poor tissue blood supply. The palm of the hand comprises only one percent of the body surface area. Despite this, a burn of the hand can represent a serious short- or long-term disability. Credit: @reconst.surg.col