Total Ankle Contracture: Anatomy and Treatment
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.