Revolutionizing scar management: a compelling case report on the efficacy of manual fractional photothermolysis for treating mature burn scar contractures: Case report.

RATIONALE: This case report introduces manual fractional photothermolysis (MFP) as a novel, noninvasive technique for managing burn scar contractures that are refractory to conventional physical therapy, highlighting its potential to improve functional outcomes.

PATIENT CONCERNS: A 52-year-old man presented with severe functional limitation of the 2nd, 3rd, and 4th digits of his left hand due to burn scar contractures, which showed no improvement after more than 6 months of intensive physical therapy.

DIAGNOSES: The patient was diagnosed with postburn scar contractures of the left hand (7 months post-injury).

INTERVENTIONS: The patient underwent treatment with the novel MFP technique.

OUTCOMES: Objective assessment by 2 independent physical therapists confirmed an improved active range of motion post-intervention. The patient reported significant functional gains and high satisfaction. No complications were observed.

LESSONS: This case suggests that MFP is a safe and effective intervention for improving hand function in patients with therapy-resistant scar contractures. The technique, leveraging principles of fractional photothermolysis, holds promise for transforming clinical management strategies for similar conditions.