OBJECTIVE Scar contracture of the neck after a burn-injury can cause both functional and aesthetic problems, and still presents a challenge for plastic surgeons. The anatomic area and adjacent structures such as the lower lip, trachea and neuro-vascular structures which are affected by the scar make treatment diffucult. Scarring and contracture of the neck region may severely limit function, ca...

Reconstruction of the post-burn contracture is a complex task in plastic surgery. A burn patient treated traditionally only by dressings develops scar with contracture involving the burned region. The lip is a part of the face that is frequently affected by burn injury. Post-burn scar sequelae in this area often result in cosmetic disfigurement and psychological upset in patients. Microstomia p...

Postburn severe edge ankle dorsiflexion contractures are the result of deep burn of the lateral joint surface. The contracture affects the foot motions, impairs the lower extremity function and slows down its development in pediatric patients; scars and tissue defects cause severe deformities. Therefore, early reconstruction is needed. Review of literature shows that ankle scar contractures are...

The authors recommend this brachioplasty technique for patients who have lost a significant amount of weight. The sinusoidal-shaped scar helps to avoid problems such as linear scar contracture, wound tension, and widened or hypertrophic scars.

Treating burn scar contracture remains a challenging problem for reconstructive surgeons. At present, no consensus exists on when to use what kind of technique. Therefore, a systematic review was performed on the effectiveness of the different surgical techniques after burn scar contracture release. Electronic databases were searched using a predefined search strategy. Studies evaluating the ou...

Excessive contraction of hypertrophic scar and subsequent contracture formation are a formidable problem after thermal injury. A comparison between fibroblasts from hypertrophic scar and normal skin was made with the use of fibroblast-populated collagen lattices as a measure of cellular generated contractile forces. Hypertrophic scar and normal skin fibroblasts were mixed with soluble tendon co...

The development of burn scar contracture is a pathologic condition. Burn scar contracture is defined as a loss of motion of a joint or anatomic structure as a result of normal skin being replaced by inextensible scar tissue. The presence of a burn scar contracture has been shown to have a negative impact on a burn survivor’s quality of life, particularly in regards to physical functioning. A fo...

Background: Postburn dorsal and palmar interdigital commissural contracture is one of the most common complications of hand burns which restricts finger motion and presents a serious cosmetic defect. Many techniques and flaps have been suggested, and research continues for more effective techniques as the problem has not been solved. Methods: Anatomy of scar interdigital commissural contracture...

BACKGROUND Post-burn axillary and elbow scar contracture is a challenging problem to the reconstructive surgeon owing to the wide range of abduction and extension that should be achieved, respectively, while treating either of the joint. The aim of this paper is to highlight the use of subcutaneous pedicle propeller flap for the management of post-burn axillary and elbow contractures. METHODO...

A scar is the result of wound healing, modified by the nature, site, and orientation of the wound, and the method and skill of its repair. In the healing of an unrepaired wound three processes influence the final scar: wound contraction; epithelial migration; and scar maturation (and its anomalies, hypertrophy and keloid, contracture, and stretching). Surgical repair of the wound bypasses the f...