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What are non-surgical methods for fibrotic contracture?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

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?
Answered by Dr. Pavan N Murdeshwar

Education:

MCh

Professional Bio:

Dr. Pavan N. Murdeshwar is a skilled Plastic Surgeon dedicated to providing advanced surgical care with precision and compassion. With extensive experience in reconstructive and cosmetic procedures, he is committed to restoring form, function, and confidence for his patients. His expertise spans general plastic surgery, wound care, and aesthetic enhancements, where he combines surgical excellence with a patient-centered approach. Dr. Pavan focuses on delivering safe, effective, and personalized treatment to achieve the best possible outcomes.

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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
Medically reviewed by Dr. Divya Banu M
Published At February 15, 2020
Reviewed At May 15, 2024

Education:

MCh

Professional Bio:

Dr. Pavan N. Murdeshwar is a skilled Plastic Surgeon dedicated to providing advanced surgical care with precision and compassion. With extensive experience in reconstructive and cosmetic procedures, he is committed to restoring form, function, and confidence for his patients. His expertise spans general plastic surgery, wound care, and aesthetic enhancements, where he combines surgical excellence with a patient-centered approach. Dr. Pavan focuses on delivering safe, effective, and personalized treatment to achieve the best possible outcomes.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Divya Banu M is a dedicated Dental Surgeon with valuable clinical experience. She specializes in the diagnosis, prevention, and treatment of various diseases and conditions affecting the oral cavity. With a gentle and patient-centered approach, she is committed to promoting oral health and enhancing smiles through quality dental care. Her areas of expertise include restorative dentistry, preventive dental care, and cosmetic dental procedures.

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Dr. Pavan N Murdeshwar
Dr. Pavan N Murdeshwar

plastic surgery-reconstructive and cosmetic surgery

Education:

MCh

Professional Bio:

Dr. Pavan N. Murdeshwar is a skilled Plastic Surgeon dedicated to providing advanced surgical care with precision and compassion. With extensive experience in reconstructive and cosmetic procedures, he is committed to restoring form, function, and confidence for his patients. His expertise spans general plastic surgery, wound care, and aesthetic enhancements, where he combines surgical excellence with a patient-centered approach. Dr. Pavan focuses on delivering safe, effective, and personalized treatment to achieve the best possible outcomes.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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