Transpositional and skin grafting following release of axillary contracture due to burn injury: a rare case report

Abstract

Burn injuries are among the most common causes of disability and mortality in children. One of the most frequent complications is post-burn contracture, which significantly impairs functional mobility and quality of life. Axillary contracture, in particular, poses a surgical challenge due to its impact on upper limb movement, making activities of daily living difficult for affected individuals. A 22-year-old male patient presented with a 15-year history of scald burn scar on his left axillary following a scald injury in childhood. The patient experienced restricted shoulder mobility, limiting his daily activities. Physical examination revealed a contracture involving the left axilla, lateral, and posterior thorax. Surgical release of the contracture was performed under general anesthesia using appropriate reconstructive techniques tailored to the defect. The procedure was successfully completed, and the patient was discharged in stable condition. Postoperative follow-up showed satisfactory wound healing and a marked improvement in shoulder mobility. Post-burn axillary contracture remains a major challenge, not only from a surgical standpoint but also because of its profound impact on a patient’s independence and quality of life. Surgical release continues to be the cornerstone of treatment, offering a path toward restoring function and dignity that years of scarring may have taken away. From our experience, timely and well-planned reconstructive surgery can safely and effectively correct even severe contractures with both anterior and posterior involvement, including cases where definitive management has been delayed for many years.