Post Burn Surgery

Burns are the most painful and devastating injury that could affect man. Wounds from burn injury usually results to an unsightly and permanent scar. This scar could cause acute and chronic disabilities particularly in areas of the major joints, such as the neck, knee, ankle, elbow and shoulder.  The scar in this area tend to be more thicker and less pliable resulting to restricted joint mobility and consequently functional disability. Plastic surgeon often refers to this as post burn contracture and this is the most common morbidity or complication after a burn injury. There are several options to manage scar contracture and this would depend on maturity of the scar, soft tissue availability around the scar and the involved joint. The main purpose of all surgical treatment is to release the tension created by scar contracture over the joint and resulting to increase joint mobility. This could be done by simple Z-plasty or local flap advancement. But there are cases that would require skin grafting and regional flap rotation to cover the defect after release. This procedure is done either as an out patient or in hospital admission. Release of contracture would be done under local or general anesthesia depending on the extent / complexity of scar. Surgical splint are usually applied after the procedure, this is removed depending on the technique used by the surgeon. Patient must be aware that some post burn scar would require series of operation for complete release. This would be best discuss with you surgeon. There are also other deformities that could result from burn injury, so feel free to ask you surgeon on information about them. Your surgeon must be knowledgeable about this.

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