Dr. Vicky Jain Plastic Surgeon - Excellence in Cosmetic Surgeries

What is Post-Burn Contracture (Neck, Hand, Elbow, Axilla, Knee)? 

Post-burn contracture is a condition where the skin and underlying tissues tighten or shrink after a burn injury, causing limited movement in the affected area. It commonly affects joints like the neck, hand, elbow, armpit (axilla), and knee, making it hard to perform daily activities like walking, lifting the arm, or even turning the head. This happens when burned skin heals with thick, tight scar tissue that pulls the skin inward. Post-burn contractures not only affect movement but can also change how the area looks. Treatment focuses on releasing the tight scar tissue and restoring function, often through surgery, skin grafts, or physiotherapy. Dr. Vicky Jain takes a careful, personalized approach to restore both mobility and appearance with minimal discomfort.

Why Do People Consider treatment for Post-Burn Contracture (Neck, Hand, Elbow, Axilla, Knee)?​

• 1. Cosmetic reasons:

• To improve the appearance of tight, scarred, or deformed skin

• To reduce visible burn marks and irregular skin texture

• To restore symmetry and natural body contours in visibly affected areas

• To help rebuild confidence and self-esteem, especially in social settings

• 2. Functional reasons:

• To release tight skin that restricts joint movement (e.g., difficulty in turning the neck, bending the elbow or knee, or raising the arm)

• To restore full range of motion and improve daily activities like walking, eating, dressing, or writing

• To prevent long-term complications like joint stiffness, muscle weakness, or nerve compression

• To reduce skin breakdown or ulcers in areas with constant tension or friction

Dr Vicky Jain Approach to Post-Burn Contracture (Neck, Hand, Elbow, Axilla, Knee)

Dr. Vicky Jain’s approach to Post-Burn Contracture (neck, hand, elbow, axilla, knee) is centered on restoring both movement and appearance with the least possible trauma. He begins with a detailed assessment to understand the severity of the contracture, the joints involved, and how it affects daily life. Depending on the case, he may use techniques such as Z-plasty, skin grafting, or local or regional flaps to release the tight scar tissue and cover the defect with healthy, flexible skin. In joint-related contractures, he carefully balances surgical release with the protection of tendons, nerves, and blood vessels. Post-surgery, Dr. Jain emphasizes early physiotherapy, splinting, and scar care to prevent recurrence and achieve long-term functional and cosmetic success. His method is always customized to the patient’s age, burn history, and rehabilitation needs.

What is the suitable age group for Post-Burn Contracture (Neck, Hand, Elbow, Axilla, Knee)?

Post-burn contracture treatment can be performed on patients of all age groups, from young children to older adults, depending on the severity and functional limitation caused by the scar tissue. In children, early treatment is often recommended once the scars have matured (usually after 6–12 months) to prevent interference with growth and joint development. In adults, surgery is considered when the contracture affects movement, daily activities, or causes cosmetic concerns. Dr. Vicky Jain carefully evaluates each patient’s age, skin condition, joint involvement, and overall health to decide the best time for intervention, ensuring the treatment is both safe and effective.

How long does recovery take for Post-Burn Contracture (Neck, Hand, Elbow, Axilla, Knee)?

Recovery after post-burn contracture surgery typically happens in phases, depending on the area treated and the severity of the contracture. Initial wound healing usually takes about 2 to 3 weeks, during which the surgical site is monitored and dressings are regularly changed. Sutures or staples are often removed around day 10 to 14. However, full functional recovery especially for areas involving joints like the hand, elbow, or knee—can take 3 to 6 months. This includes regular physiotherapy, scar management, and sometimes splinting to maintain range of motion and prevent recurrence. Dr. Vicky Jain ensures each patient receives a tailored rehabilitation plan to achieve the best possible long-term results, both in appearance and mobility.

Tests Requirements

For Post-Burn Contracture (affecting the neck, hand, elbow, axilla, or knee), the required tests focus on assessing the patient's overall health, scar maturity, and readiness for surgery. These usually include a complete blood count (CBC), blood sugar levels (FBS/RBS/HbA1c), renal function tests, and coagulation profile to ensure safe anesthesia and healing. If the contracture affects a joint or underlying bone, X-rays may be advised to evaluate joint alignment or bone involvement. In some cases, photographic documentation and range-of-motion assessments are done to track improvement post-surgery. Dr. Vicky Jain uses these evaluations to develop a safe, personalized surgical and recovery plan.