Because the burned axilla in a child in a difficult area to immobilizepostgrafting, we developed a new device called the “papoose.” The papoose, which is made of 4-inch thick foam, positions the child with the arms in 20-degree horizontal adduction and 90- to 160-degree shoulder abduction, according to the patient's needs. This position is maintained by use of foam axillary wedges and velfoam straps attached to the papoose and secured around the arms, waist, and (if needed) legs.Of 23 children aged 6 and under in whom the splint was used post excision and grafting, 19 had 100% take; in four, graft loss apparently resulted from infection or incomplete initial excision. No grafts were mechanically dislodged, and there were no other complications. All patients showed full range of motion when released after an average of two weeks in the device.