Abstract

Postburn Scar Contractures: Formation, Anatomy and Classification

Highlights

  • Inspite of significant achievements in burns treatment, the quantity of scar contractures is high [1]

  • That first one had to determine the contracted scars location in relation to joint’s surface which was divided into extension (E) and flexion (F) [Figure 1]; the boundary between them passes along the joint rotation axis level (+ symbol)

  • Specific anatomic features and types of the postburn flexion contractures are the result of the scar location on the joint surface: flexion lateral, flexion medial surface, or on three surfaces together

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Summary

Introduction

Inspite of significant achievements in burns treatment, the quantity of scar contractures is high [1]. An efficient scar contractures treatment has a paramount meaning in surgical rehabilitation of burned patients. Contracture treatment lied in a classic approach employing local flap techniques. Triangular-flap techniques-Z- and V-Y plasty and their various modifications and combinations continue to be the basis for scar contractures treatment [2,3,4]. The techniques based on triangular-flaps have known disadvantages; the results of rehabilitation of burned patients. Existing scar contractures names (linear, wide, long and other) do not highlight particular anatomic features. Classifications of separate joints contractures are confusing and are not used in clinical practices. The true anatomical cause of the contracture has not been explored

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