Wednesday September 23, 2015
Our first case was to release burn contractures on a young woman. The patient had been burned in a motorcycle accident, and the scarred tissue at the neck kept the patient from looking up or side to side.
Other cases involve arms and leg burns that have healed and require a skin graph or z-plasty to release the scar so that the patient can move the joint—wrist, elbow, knee. The surgeon makes zig-zag, running incisions in the skin before suturing the area back together to increase mobility. In other cases, skin is grafted from the abdomen (full thickness skin graft) or the thighs and back (split thickness skin graft) and used to provide coverage for burns and contracted scars.