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Year : 2017  |  Volume : 25  |  Issue : 1  |  Page : 6-13

The management of postburn contractures of trunk, groin, and perineum: A review

1 Sir Gangaram Hospital, Rajinder Nagar; Ex Head of the Department of Burns & Plastic Surgery, Lok Nayak Hospital and associated Maulana Azad Medical College, New Delhi, India
2 Command Hospital Air Force, Bangalore, Karnataka, India

Correspondence Address:
Pallab Chatterjee
Command Hospital Air Force, Bangalore 560 007, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijb.ijb_27_17

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While the trunk is injured in about one-fifth of burn incidents, the groin and perineal contractures are relatively infrequent. Truncal and groin/perineal involvement with disfiguring and functionally restrictive contractures are usually seen in the setting of large surface area burn injuries. In a majority of cases, the treatment of truncal contractures is aimed at mitigating the effects of hypertrophic scarring. In groin/perineal contractures, the contractures are treated to restore movements that enable the important functions of excretion, squatting, and sexual intercourse. Many innovative local and regional flaps have been described to treat such contractures that provide a durable result. Even then, split skin grafting remains a valuable method to treat these contractures, especially for the severe ones. Although tissue expansion can be frequently used to provide color and texture-matched skin resurfacing after the release of truncal contractures, it is deemed unsuitable for groin/perineal contractures owing to high complications rates.

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