With an emphasis on accelerating healing, integrating grafts, and reducing complications, recent developments in acute burn wound therapy are revolutionizing the treatment of burn injuries. However, there are many obstacles to existing therapeutic therapies, such as the difficulties of precisely determining tissue viability and wound depth, which can result in less-than-ideal treatment planning. Burn contractures often result in persistent wounds, limitations in movement, and unsightly outcomes. To reduce donor site morbidity and maximize results, careful planning and tissue selection are crucial. According to the principles of burn reconstructive surgery, donor tissues with appropriate texture, color, and pliability must be used to replace the flaws following release. These requirements are met by autologous skin grafting or flap procedures, which resurface the scar defects after release and replace scar tissues. Despite the advantages, burn patients' use of flaps is frequently restricted for a variety of reasons. A huge defect may cause significant donor site morbidity, requiring flap surgery, including free flap surgery, if the surgeon plans to release entirely and reconstruct in a single stage. There are numerous approaches and processes for resurfacing the flaws, and these are examined. This article presents reconstructive techniques and algorithms for the release of burn contractures. Both joint movements and cosmetic abnormalities should significantly improve with the help of these therapy strategies. Thus, a combined and differentiated approach to the treatment of post-burn scars has shown significantly better clinical and functional results compared with traditional therapy. Complex treatment, taking into account the type of scar, depth and localization, can not only improve the appearance of the scar, but also significantly shorten the rehabilitation period, minimizing the risk of complications and recurrence.

Burn contracture, algorithm, morbidity at the donor site

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