Background. Groin and perineal
burn contracture is a rare postburn sequel. Such postburn
contractures causes distressing symptoms to the patients and in the management of these
contractures, both functional and cosmetic appearance should be the primary concern. Aims. To study the outcome of surgical treatment (STSG and multiple Z-plasties) in postburn
contractures of groin and perineum. Material and Methods. We conducted a study of 49 patients, with postburn groin and perineal
contractures. Release of
contracture with split thickness
skin grafting (STSG) was done in 44 (89.79%) patients and release of
contracture and closure by multiple Z-plasties was done in 5 (10.21%) patients. Results. Satisfactory functional and cosmetic outcome was seen in 44 (89.79%) patients. Minor secondary
contractures of the graft were seen in 3 (6.81%) patients who were managed by physiotherapy and partial recurrence of the
contracture in 4 (8.16%) patients required secondary surgery. Conclusion. We conclude that postburn
contractures of the groin and perineum can be successfully treated with release of
contracture followed by STSG with satisfactory functional and cosmetic results. Long term measures like regular physiotherapy, use of pressure garments, and messaging with
emollient creams should not be neglected and should be instituted postoperatively to prevent secondary
contractures of the graft and recurrence of the
contracture.