In this thesis, twenty-five cases of acute hand burn were managed using both traditional and recent modification in selected cases, with different etiologies and degrees of burns. Females represent 10 cases while males represent 15 cases, in 24 cases of them there was no associated injury, while in a single case there was associated injury in form of fracture ulna. 5 cases were isolated hand burns. Surgical intervention in the form of escharotomy was done to 3 patients. Average hospital stay was 19 days. No significant functional complication occurred in any of the patients.