Postburn Scar Contracture: Formation, Anatomy and Classification

  • Viktor M. Grishkevich
  • Max Grishkevich


Despite significant achievements in burn treatments, the number of scar contractures is high. Among three burn consequences—scar deformity, contracture, and tissue defect—contractures most often lead to disability. Therefore, efficient treatment of scar contractures is of primary importance in the surgical rehabilitation of burned patients. Treating burn scar contractures remains a challenging problem for reconstructive surgeons, and no definitive conclusions have been reached about the effectiveness of different techniques.


Scar contractures Contractures formation Anatomy and classification Three types of contractures Anatomical basis for contractures elimination 


  1. 1.
    Schneider JC, Holavanahalli R, Helm P, Goldstein R, Kowalske K. Contractures in burn injury: defining the problem. J Burn Care Res. 2006;27:508–14.CrossRefPubMedGoogle Scholar
  2. 2.
    Stekelenburg CM, Marck RE, Tuinebreijer WE, de Vet HC, Ogawa R, van Zuijlen PP. A systematic review on burn scar contracture treatment: searching for evidence. J Burn Care Res. 2015;36:e153–61.CrossRefPubMedGoogle Scholar
  3. 3.
    Serghiou MA, Niszczak J, Parry I, Li-Tsang CWP, Van den Kerckhove E, Smailes S, et al. One world one burn rehabilitation standard. Burns. 2016;42:1047–58.CrossRefPubMedGoogle Scholar
  4. 4.
    Grishkevich VM. The basic types of scar contractures after burns and methods of elimination them with trapezeplasty flaps. Plast Reconstr Surg. 1991;88:1044–54.CrossRefPubMedGoogle Scholar
  5. 5.
    Grishkevich VM, Grishkevich M. Postburn scar contractures: formation, anatomy and classification. Adv Plast Reconstr Surg. 2016;1(1). Accessed 29 Dec 2017.

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Viktor M. Grishkevich
    • 1
  • Max Grishkevich
    • 2
  1. 1.Happy ValleyUSA
  2. 2.VIP MediSpaClackamasUSA

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