Volume 29, Issue 162, August 2025

Case description: Contracture scar as a complication of burns – current clinical management strategies

Adrianna Truszyńska-Zawisza, Julia Nosko^1♦, Natalia Sioch, Julia Krotofil, Piotr Jasek, Wojciech Jasek

Military Institute of Medicine, Szaserów Street 128, 04-141 Warsaw, Poland.

^♦Corresponding author
Julia Nosko; Military Institute of Medicine, Szaserów Street 128, 04- 141 Warsaw, Poland

ABSTRACT

Post-burn scars transforming into contractures represent a major clinical concern and a challenge for today’s medicine. They often result in numerous complications, including physical impairment, and have a tendency to recur, which requires individualizing every patient’s therapy and often implementing surgical interventions to regain function. This case report presents a female patient who developed extensive scarring on both hands following a burn injury. The predominant contracture affected the index and thumb of the right hand, with limited wrist mobility. Surgical excision of the scar tissue followed by intermediatethickness skin grafting and matrix dressing resulted in almost complete restoration of hand function and a satisfactory cosmetic outcome. This case illustrates one of several clinical strategies for managing post-burn contractures. Treatment choice depends on the location and severity of the contracture, mobility of surrounding tissues, and the individual needs of the patient, highlighting the importance of personalized medical care.

Keywords: contracture, scar contracture, burns

Medical Science, 2025, 29, e123ms3619

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DOI: https://doi.org/10.54905/disssi.v29i162.e123ms3619

Published: 03 August 2025