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Abstract : Burn injury is one of the most common causes of hand contractures. In low and middle-income countries (LMICs), access to adequate burn management is often limited. This is a case report of neglected burn contractures that were released in Indonesia’s rural area, on a floating hospital. A 14 years-old girl presented with post-burn flexion contractures of her ring and little fingers’ proximal interphalangeal (PIP) joint since she was 3 years old. She had never been treated and encountered functional and aesthetic problems. The contractures were released, covered with skin graft, and internal splints were inserted on a floating hospital. Aftercare were done in collaboration with local healthcare. Five months after the surgery wound has completely healed, and she has gained her hand function. In pediatric burn cases, volar contact burns are more common, where the palm and volar fingers are found more frequently to be injured. Early reconstruction was found more beneficial. In this case, the patient lives in Central Buton, a remote area in Indonesia that has no burn center nor surgical facility. We came on a floating hospital and surgery was done by a volunteer general surgeon. Contracture release surgeries in LMICs are often provided by volunteer surgeons and frequently debated because poor aftercare leads to poor long-term results. Providing follow-up after missions is important and local health workers should be trained. Digital contracture release surgery in an inaccessible area is feasible and should be continued with long-term follow-up for a great result.