Overview
As deep burns heal, scars may appear that are thick, itchy, or restrict movement. Retraction of tissue around the joints, neck, hands, or eyes can affect daily functions; This is called contracture. Treatment is not chosen based solely on the appearance of the scar. The durability of the skin, joint movement, the development of the growing child and the needs of the person are evaluated together. Wound care and rehabilitation are as important as the surgical plan. While some areas can be managed with follow-up and scar treatments, with significant contractures it may be necessary to loosen the tissue and complete the missing cover. Referral to a burn or reconstruction team may be necessary; The scar is not completely erased.
What is evaluated?
- The closure status of the wound and the maturity and sensitivity of the scar are evaluated.
- Retraction affecting joint movement or structures such as the eyelid is examined.
- Previous grafts, usable intact skin, and rehabilitation history are discussed.
Approach and options
- In appropriate cases, scar care, silicone and rehabilitation can be planned under expert supervision.
- For selected raised or prominent scars, methods such as injection or laser may be discussed.
- In case of contracture that limits function, surgical release and coverage with a graft or flap may be required.
Recovery and follow-up
After repair, an individual balance is established between protecting the new wound and maintaining movement. The need for splints, compression garments or therapy is determined by the burn team. Skin color and scar hardness may change over time. Long-term check-ups are important as new contractures may develop in children as they grow.
Risks and limits
- Recurrence of contracture
- Healing problem in graft or flap
- Color and texture incompatibility
- Thick scarring, itching or tenderness
- Need for additional corrective surgery
The headings here do not cover all risks. Possible benefits, alternatives and personal risks should be discussed in detail during the examination.
You can ask in the consultation
- Is the movement restriction caused only by the skin, or is the joint also involved?
- How will surgery and rehabilitation be scheduled?
- What follow-up approach would be used if the contracture returns?
Resources
Access to sources: September 2026. The content has been prepared for general information purposes.