**4. Conclusion**

The number of new scars and donor site morbidity is reduced. Neck, chest and scalp are the most suitable areas where tissue expansion is commonly performed. In the lower limb, expansion is especially difficult in the burned extremity [54]. While planning the expansion, it is often difficult to predict the size of the defect. Expansion has the risks of infection, leakage and skin ischemia, and even failure. The patients should attend regular follow-up to improve

For example, if there is a burn scar on the cheek, then lower lid ectropion can occur without

**4.** What is the cause of the contracture? If it is a band, then is it surrounded by normal tissue

Below, there is an algorithm to help surgeons to choose the best reconstruction process for

**Figure 4.** Algorithm for the cover of burn contractures of the extremities after release: band contracture (ROM = range

**2.** How is the severity of the contracture? Is the joints range of motion more than 50%?

1. Is the reason for the contracture an intrinsic force or an extrinsic force?

**3.** Is the cause of the contracture a broad sheet of scar or a band of scar?

**5.** Check if the band includes only one joint or if it involves other joints.

outcomes and reduce complication rates.

any intrinsic lower eyelid deformity.

burn contractures after release (**Figures 4** and **5**) [32].

**3. Clinical assessment**

114 Hot Topics in Burn Injuries

or a burned tissue?

of motion).

The algorithms above are an attempt to simplify the approach to burn contracture release. Naturally, there are situations where the algorithm might not be applicable, and the surgeon, in all such cases, must plan an approach according to knowledge and experience.
