Introduction
The incidence of lymphedema secondary to burns is uncertain; there are no epidemiological studies in the scientific literature.
Case
We present the case of a burned patient with an affectation of the 80% of the body surface with second and third-degree burns of years of evolution.
The patient has required multiple corrective surgical procedures, presenting important retractions and amputation of upper extremities phalanges.
In spite of everything, the patient partially maintains her autonomy thanks to the functional clamp of both hands. In the postoperative course of an excision of a periarticular calcification of the elbow, presents clinical edema of the hand dorsum and first right phalanx with the loss of manual ability.
On examination, a pitting edema without stemmer sign is detected due to the absence of skin folds.
The predisposing factors for lymphedema were the circumferential involvement and depth of the burn, scar retraction and the trauma derived from the intervention.

In our case, the challenge was to find a customized decongestive system with which maintain her autonomy, thus we opted for a self-adjusting low elasticity device with lymphatic padding.
Conclusion 
Self-adjusting systems allow us to regulate working pressure during the day while molding to different surfaces.
They have the additional advantage that they allow self-management with respect to the pathology reducing health costs derived from therapy

Rehabilitating approach in a upper lymphedema related to burns sequelae. A case report