Traitement des séquelles de brûlures des membres

Burn injuries, regardless of the aetiology, rarely involve the joint. However, the joint function is often impaired due to burn cutaneous sequelae. Articular or non articular scar contracture can reduce joint movements. Prevention consists in tangential excision and split thickness skin graft before the end of the third week, immediately followed by rehabilitation and physiotherapy. The surgical management of the scar contracture consists in an incision or excision of the scar and the covering of the soft tissue loss by full thickness skin graft or cutaneous flaps (local, regional or free). The aesthetic and functional sequelae of the limb joints (except the hand) are described with their different techniques of reconstruction.