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Staged Treatment of an Extensive Post-Burn Scar Contracture with Chronic Ulceration of the Knee Joint: A Case Report
Journal of Korean Burn Society 2023;26(2):67-70
Published online December 1, 2023
© 2023 Journal of Korean Burn Society.

Jeeyoon Kim, M.D., Ph.D., Haejin Seo, M.D., Jongweon Shin, M.D., Ph.D., Junhee Byeon, M.D., Ph.D. and Eun Young Rha, M.D., Ph.D.

Department of Plastic and Reconstructive Surgery, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
Correspondence to: Eun Young Rha, Department of Plastic and Reconstructive Surgery, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, 1021 Tongil-ro, Eunpyeong-gu, Seoul 03312, Korea
Tel: 82-2-2030-2730, Fax: 82-2-2030-2738
E-mail: reyrha@catholic.ac.kr
Received October 15, 2023; Revised November 6, 2023; Accepted November 14, 2023.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
A post-burn scar contracture (PBSC) can cause functional problems including limited range of motion (ROM) and, in turn, poor quality of life. We present a case with an extensive PBSC combined with chronic ulceration. Treatment involved scar tissue excision, rehabilitation, and delayed reconstruction using a free transverse rectus abdominis myocutaneous flap and a split-thickness skin graft. After scar tissue excision, negative pressure was applied to the open wound; this facilitated rapid ambulation and ROM recovery within 2 weeks. Ultimately, over 6 months, the initial flexion contracture of 60º improved to 10º, and the ROM improved from 75º to 125º.
Keywords : Scar contracture, Knee, Free tissue flaps, Reconstruction


December 2023, 26 (2)
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