Contractures Management
Burns and other injuries may heal but leave contractures in different parts of the body. A contracture occurs when scar tissue tightens, causing changes in appearance and restricting movement.
If a wound, particularly a deep one, crosses a joint, there is an increased risk of contracture. The longer the wound takes to heal, the greater the risk may be. Contractures can often be treated surgically. The surgeon releases the tight scar and may repair the area using skin grafting or skin rearrangement techniques such as Z-plasty or V-Y plasty. Flaps and tissue expanders may be required in more complex cases.
Children may develop contractures following burn injuries, particularly those sustained during infancy. Early assessment and appropriate treatment can help manage these contractures.
Post-operative splinting is important in reducing the risk of recurrence. Splints may need to be worn for several months, depending on the patient’s condition and recovery. Custom-made splints can be prescribed by the doctor and obtained through an external provider.
