Burn injuries and contractures

Burn injuries and contractures

Burn injuries can have devastating consequences, often leaving individuals with not only physical scars but also functional limitations and emotional distress. Among the complications that can arise from severe burns, contractures are one of the most common and challenging to address. 

Fortunately, modern plastic surgery offers a range of advanced techniques and treatments to help patients regain both form and function after suffering burn injuries and developing contractures.

Understanding Burn Injuries and Contractures

Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, chemicals, electricity, or radiation. The severity of a burn is typically classified into three categories:

  • First-Degree Burns: These affect only the outer layer of the skin (epidermis) and are often characterized by redness and mild pain. First-degree burns usually heal on their own without significant scarring.
  • Second-Degree Burns: These involve both the epidermis and the layer beneath it (dermis). They are more painful and may cause blistering. Proper wound care is essential to minimize scarring and complications.
  • Third-Degree Burns: Also known as full-thickness burns, these extend through the entire dermis and may even affect underlying tissues such as muscles and bones. Third-degree burns often require surgical intervention to remove damaged tissue and graft healthy skin.



Contractures are a consequence of burn injuries, especially when they affect a large area of the body. Contractures occur when the skin and underlying tissues tighten and restrict the natural movement of joints and muscles. As scar tissue forms during the healing process, it can lead to contractures, causing deformities and functional impairment.

Options for Burn Injuries and Contractures Treatment in Nagpur

Plastic surgeons play a crucial role in the treatment and management of burn injuries and their associated contractures. Here are some key treatment options and techniques they employ:

  • Wound Care and Dressings: In the initial stages of burn treatment, plastic surgeons focus on wound care and the application of specialized dressings to prevent infection and promote optimal healing. These dressings can include biological dressings made from human or animal tissue to aid in the healing process.
  • Skin Grafts: For third-degree burns and deep tissue damage, skin grafting is often necessary. During this procedure, healthy skin is taken from another part of the patient’s body (autograft) or a donor source (allograft) and transplanted onto the burned area. This helps promote healing and reduce scarring.
  • Tissue Expansion: In cases where a large area of skin is affected, tissue expansion may be utilized. This technique involves stretching nearby healthy skin to create extra tissue, which can then be used to cover the burn site. Tissue expanders are gradually filled with saline over time to encourage skin growth.
  • Z-Plasty and Flap Surgery: Plastic surgeons can perform Z-plasty and flap surgeries to release contractures and improve joint mobility. Z-plasty involves making incisions in a Z-shaped pattern to reposition scars and minimize their impact on joint function. Flap surgery involves transferring healthy tissue from one area to another to cover a burn or contracture site.
  • Physical Therapy: Rehabilitation is a crucial component of burn injury and contracture treatment. Physical therapists work with patients to improve the range of motion, strength, and functionality of affected limbs or joints. This helps patients regain independence and quality of life.
  • Pressure Garments: Pressure garments are specially designed to apply constant pressure to the healing skin. They help flatten scars and prevent the formation of new contractures. Patients are typically advised to wear these garments for an extended period.
  • Scar Revision: In cases where scars are cosmetically bothersome or cause functional limitations, plastic surgeons can perform scar revision procedures. This involves removing the old scar tissue and reshaping it to be less noticeable and restrictive.

The Role of Advanced Technology

In recent years, advances in technology have revolutionized the treatment of burn injuries and contractures. Some notable developments include:

  • Laser Therapy: Laser technology is used to improve the appearance and functionality of burn scars. Fractional laser therapy helps stimulate collagen production, reducing scar texture and discolouration.
  • 3D Printing: 3D printing is utilized to create custom-fit splints and prosthetics for patients with contractures. These devices help restore mobility and function to affected limbs.
  • Regenerative Medicine: Research in regenerative medicine is exploring the use of stem cells, growth factors, and tissue engineering to promote more natural healing and tissue regeneration after burn injuries.

Choose Dr Siddharth Mendiratta for Aesthetically Artful Outcomes!

When it comes to enhancing your appearance and regaining confidence, selecting the right plastic surgeon is paramount. Dr Siddharth Mendiratta stands as the foremost choice for men and women seeking expert, personalized plastic surgery solutions.

With a reputation built on precision, artistry, and an unwavering commitment to patient satisfaction, Dr Mendiratta has become a trusted name in aesthetic surgeries. Dr Siddharth Mendiratta’s extensive experience in Burn injuries and contractures treatment in Nagpur ensures that you receive tailored solutions that align with your unique goals.

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