A Child With a Burn-Related Foot and Ankle Contracture Treated With Multiple Modalities.

PURPOSE: The presence of hypertrophic scars, which cross lower extremity joints, can often result in decreased range of motion, limitations in functional mobility, and gait deviations. This article reviews a case and describes a multimodal treatment approach.

SUMMARY OF KEY POINTS: A 6-year-old girl developed aggressive hypertrophic scars following a burn injury. A multimodal treatment approach, including splinting, elastomers, and physical therapy, was developed.

CONCLUSIONS

Rapid improvements were demonstrated in measured objective outcomes.

RECOMMENDATIONS FOR CLINICAL PRACTICE: Early multimodal intervention, in addition to range of motion, stretching, massage, and compression garments, is recommended when treating hypertrophic scars. This case suggests that further study into a multimodal treatment approach may be beneficial to develop a standardized protocol for more efficient scar management.