Contracture scar as a complication of burns - current clinical management strategies

Contractures resulting from hypertrophic scar tissue are a challenge in the treatment of patients after deep burns. Their impact on the patient's dexterity limitation and their tendency to recur necessitate individualized therapy and, in some cases, the use of surgical methods to restore functi...

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Main Authors: Adrianna Truszyńska-Zawisza, Julia Nosko, Natalia Sioch, Julia Krotofil, Piotr Jasek, Wojciech Jasek
Format: Article
Language:English
Published: Nicolaus Copernicus University in Toruń 2025-06-01
Series:Quality in Sport
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Online Access:https://apcz.umk.pl/QS/article/view/61172
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author Adrianna Truszyńska-Zawisza
Julia Nosko
Natalia Sioch
Julia Krotofil
Piotr Jasek
Wojciech Jasek
author_facet Adrianna Truszyńska-Zawisza
Julia Nosko
Natalia Sioch
Julia Krotofil
Piotr Jasek
Wojciech Jasek
author_sort Adrianna Truszyńska-Zawisza
collection DOAJ
description Contractures resulting from hypertrophic scar tissue are a challenge in the treatment of patients after deep burns. Their impact on the patient's dexterity limitation and their tendency to recur necessitate individualized therapy and, in some cases, the use of surgical methods to restore functional capacity. In this paper, we present a clinical case of a female patient who developed extensive scarring in both hands as a result of burns. The complication, which significantly reduced the patient's functional capacity, was mainly contracture of fingers I. and II. of the right hand and restricted mobility of the wrist. The patient was treated with surgical excision of the affected tissue and placement of an intermediate-thickness skin graft supported by a matrix dressing. This resulted in a near normal hand function and a satisfactory aesthetic result. The case presented here shows one of the many possible treatment methods for post-burn contractures. The choice of treatment method depends on the location of the contracture, the mobility of the surrounding tissues and the capabilities of the individual, and each case requires an individual approach by the medical staff.
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publishDate 2025-06-01
publisher Nicolaus Copernicus University in Toruń
record_format Article
series Quality in Sport
spelling doaj-art-2d9b260e2e60423ab55065c8f075fe582025-08-20T02:23:48ZengNicolaus Copernicus University in ToruńQuality in Sport2450-31182025-06-014210.12775/QS.2025.42.61172Contracture scar as a complication of burns - current clinical management strategiesAdrianna Truszyńska-Zawisza0Julia Nosko1Natalia Sioch2Julia Krotofil3Piotr Jasek4Wojciech Jasek5Military Institute of Medicine, Warsaw, Szaserów Street 128, 04-141 Warsaw, PolandMilitary Institute of Medicine, Warsaw, Szaserów Street 128, 04-141 Warsaw, PolandMilitary Institute of Medicine, Warsaw, Szaserów Street 128, 04-141 Warsaw, PolandMilitary Institute of Medicine, Warsaw, Szaserów Street 128, 04-141 Warsaw, PolandMilitary Institute of Medicine, Warsaw, Szaserów Street 128, 04-141 Warsaw, PolandMilitary Institute of Medicine, Warsaw, Szaserów Street 128, 04-141 Warsaw, PolandContractures resulting from hypertrophic scar tissue are a challenge in the treatment of patients after deep burns. Their impact on the patient's dexterity limitation and their tendency to recur necessitate individualized therapy and, in some cases, the use of surgical methods to restore functional capacity. In this paper, we present a clinical case of a female patient who developed extensive scarring in both hands as a result of burns. The complication, which significantly reduced the patient's functional capacity, was mainly contracture of fingers I. and II. of the right hand and restricted mobility of the wrist. The patient was treated with surgical excision of the affected tissue and placement of an intermediate-thickness skin graft supported by a matrix dressing. This resulted in a near normal hand function and a satisfactory aesthetic result. The case presented here shows one of the many possible treatment methods for post-burn contractures. The choice of treatment method depends on the location of the contracture, the mobility of the surrounding tissues and the capabilities of the individual, and each case requires an individual approach by the medical staff. https://apcz.umk.pl/QS/article/view/61172burn contractureskin graftreconstructive surgeryscar managmenthypertrofic scar
spellingShingle Adrianna Truszyńska-Zawisza
Julia Nosko
Natalia Sioch
Julia Krotofil
Piotr Jasek
Wojciech Jasek
Contracture scar as a complication of burns - current clinical management strategies
Quality in Sport
burn contracture
skin graft
reconstructive surgery
scar managment
hypertrofic scar
title Contracture scar as a complication of burns - current clinical management strategies
title_full Contracture scar as a complication of burns - current clinical management strategies
title_fullStr Contracture scar as a complication of burns - current clinical management strategies
title_full_unstemmed Contracture scar as a complication of burns - current clinical management strategies
title_short Contracture scar as a complication of burns - current clinical management strategies
title_sort contracture scar as a complication of burns current clinical management strategies
topic burn contracture
skin graft
reconstructive surgery
scar managment
hypertrofic scar
url https://apcz.umk.pl/QS/article/view/61172
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AT juliakrotofil contracturescarasacomplicationofburnscurrentclinicalmanagementstrategies
AT piotrjasek contracturescarasacomplicationofburnscurrentclinicalmanagementstrategies
AT wojciechjasek contracturescarasacomplicationofburnscurrentclinicalmanagementstrategies