HomeAnswersplastic surgery-reconstructive and cosmetic surgeryscar revision surgeryIs there any non-surgical method in practice for releasing fibrotic contracture?

Kindly advise any non-surgical method of releasing fibrotic contracture.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Divya Banu M

Published At February 15, 2020
Reviewed AtSeptember 7, 2023

Patient's Query

Hello doctor,

I have a big scar in my right thigh that has led to a contracture with little flexure on my knew joint for over ten years. I have recently underwent a corrective Z-plasty release but with only little gains in flexure, the Doctor said the contracture had develop a fibrosis that needs to be removed. Is there any non-surgical method of releasing fibrotic contracture?

Hi,

Welcome to icliniq.com.

From what I can see in the pictures is that you have got a massive tissue loss over your thigh and that too over such a long period that it has gone for severe contracture. Only the Z-plasty will definitely not give you enough results. As your doctor has suggested you will have to go for complete removal of the scar and fibrotic tissue with reconstruction by a large free flap. Before that, few investigations will be required which will give the idea about how much post op benefit u will be gaining. Non-surgical methods are there for removing the fibrosis, but definitely not for such a massive one.

Investigations to be done

X ray of the knee and hip, MRI of thigh region, vascular doppler of donor vessel for a free flap.

Treatment plan

Scar and fibrosis Excision with reconstruction by free flap

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Pavan N Murdeshwar
Dr. Pavan N Murdeshwar

plastic surgery-reconstructive and cosmetic surgery

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