Reconstruction of extreme post-burn scar contracture of the ankle using a thoracodorsal artery perforator flap: a case report

Post-burn scar contracture associated with deep second-degree or higher burns in the joint area can lead to immobility and may cause chronic ulcers, substantially impacting patients’ quality of life. Surgical intervention is necessary, local flaps skin grafts being first option. In extreme cases, free flap transfer be required address large defects that occur after release. This study presents a successful case reconstruction using patient severe post-burn contracture, which resulted club-like deformed ankle nonfunctional joint. Despite deformity nonfunctioning joint, we utilized thoracodorsal artery perforator stably cover newly fused neutral position. After reconstruction, was able wear shoes ambulate. highlights potential even most challenging situations where function severely compromised.