Abstract
Burn scars of the distal part of the lower extremities are often complicated by being rough, thick, and hard. Scars in this region are predisposed to excessive growth, which impairs all forms of motion. Walking increases the size of the contracture. The distal segment of the extremity has a thin subcutaneous fat layer, and the relatively low blood circulation in the scars stimulates keloid tissue growth. Such scars create serious functional and cosmetic problems. Therefore, these scars should be excised. Scars should be mature, and their excision should be performed through the intermediate layer, which can be accomplished without bleeding. Skin transplantation follows without complications.
Keywords
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Grishkevich VM. Ankle dorsiflexion postburn scar contractures: anatomy and reconstructive techniques. Burns. 2012;38:882–8.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Grishkevich, V.M., Grishkevich, M. (2018). Total Ankle Contracture: Anatomy and Treatment. In: Plastic and Reconstructive Surgery of Burns. Springer, Cham. https://doi.org/10.1007/978-3-319-78714-5_38
Download citation
DOI: https://doi.org/10.1007/978-3-319-78714-5_38
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-78713-8
Online ISBN: 978-3-319-78714-5
eBook Packages: MedicineMedicine (R0)