High voltage electrical burns constitute serious injury. Their depth increases over time. They lead to major tissue damage, sometimes irreversible, with tremendous functional and aesthetic sequelae, especially when extremities are involved. In emergency settings, the plastic surgeon faces a dilemma: should he amputate the burnt extremity immediately in order to avoid rhabdomyolysis, or wait until necrosis is delimited to avoid multiple surgeries and limit the size of amputation?
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