Scar / Burn Contracture Treatment

Burn survivors often suffer from crippling morbidity, contracture, persistent itching and poor body image, and interpersonal relationships. Burn contraction leads to restricted movement and unacceptable aesthetic consequences of persistent wounds. Such morbidity and sequelae increase the severity of fire injuries and qualify them as a major public health problem.

Scar or Post-burn contracture release Surgery

Proper planning and tissue selection are essential to minimize the morbidity of the donor site and to optimize the results. In principle, reconstructive burn contracture release surgery requires that the defect be released and replaced by donor tissue with the appropriate texture, color, and sufficient suppleness. Autologous skin grafts and flap operations meet the criteria for the replacement of scar tissue, resuscitation, and subsequent release of scar defects.

There are a lot of different methods and procedures available to detect these defects and they will be checked later. If the scar or burn contracture release surgeon intends to discharge and reconstruct at a stage of surgery, a major defect due to a large donor site or morbidity requires flap surgery, including free flap surgery.

Reconstructive procedures should be initiated at least 6 months after the injury. Correction of mild to moderate hypertrophic scars and contraction of local skin lobes should be used to avoid more complex procedures. The timing of the surgical scar or burn contracture release treatment should allow sufficient time to complete the scar maturation, as premature procedures can lead to increased inflammation and additional scars. During the acute phase of thermal injury, after initial scar maturity, scar management can alleviate hypertrophic scarring and prevent scar ligaments.

What is Scar/Burn Surgery?

When treating a scar that has been elongated with z-plastic, a simple linear scar band can be seen on the joint. The scar is designed so that its central limb is hypertrophic and the scarred ligament is positioned at an angle of 60 degrees to the lateral limb. By making a corner at 90 degrees and lengthening the scar at 60 degrees, the perfusion tip of the scar can be improved. Flaps lift the scar tissue in order to obtain a thicker and more involved underlying fatty tissue in order to achieve an active extension.

The second most common contractures are neck contractures, armpit scars, and contractures; these are the most difficult to improve. Burn scars that affect large areas lead to tight contractions. Larger contractures can be treated by releasing a thick, split skin graft instead of a full-thickness skin graft.

A mild form can be treated with sequence Z plastics. If it is a severe contracture, a scar is required that leaves a large defect. Full-thickness skin grafts can be used to fill the defect. They are preferred split-thickness grafts because they have a diminished effect on secondary contractions and minimize scarring. The release of contractions can lead to exposed tendons and bones, so local valves are used.

Our Scar / Burn Contracture Treatment Clinics are available in Central London, North London, Stanmore, Pinner, Rickmansworth, Watford etc.

If you would like to make an appointment for a scar or burn surgery treatment
consultation please give us a Call.

The Y-V plastic technique can lead to the release of several joints. If several joints are required for the release, each joint is considered contracted during the release.

In cosmetics, it is better to have a functioning joint – even if it is disappointing that it is far from perfect joint mobility. This does not mean that it is not important, it simply does not take precedence over function.

The flap is preferred over split skin grafts. It has its own blood supply to supply the mass, which leads to a better cosmetic appearance. The gap thickness of the graft is applied to the wound before it contracts so that there is a risk of recurrent contracture. In order to prevent this, physiotherapy is the method of mobilizing the joint.

Standing contraction ligaments and tendons are shortened, and a tendon extension is necessary for back bending. Important underlying structures are exposed and must be exposed. For example, the extensor tendon is exposed by the dorsal release at the ankle. Reconstruction of post-burn contractures Surgical treatments can be combined with the release of cleaved skin grafts.

Acute lower lid treatment studies have shown, for example, that full-thickness grafts reduce the frequency of subsequent ectropias after release. It is important that the flap cover of the defect is designed in such a way that there are no time limits. Some authors advocate a waiting period of 2-3 weeks before making a valve-free release, with a success rate of 94%. This is called the conventional wait-and-see approach.

Dr.Neil Toft is a board-certified cosmetic surgeon who has specialized in plastic surgery after expensive training and experience in reconstructive and various aesthetic plastic surgery procedures.

He offers sensitive, effective, safe, and proven scar or post burn contractures release surgery procedures and the latest in medical technology. Every effort is made through reconstructive procedures to ensure your comfort while helping you achieve your aesthetic goals.

Our Scar / Burn Contracture Treatment Clinics are available in Central London, North London, Stanmore, Pinner, Rickmansworth, Watford etc.