The Ilizarov technique in severe postburn knee contracture

Background: Postburn knee flexion contracture is associated with contraction of the musculotendinous unit, neurovascular structures, joint capsule and ligaments. Acute correction can lead to serious complications. Gradual correction with the Ilizarov technique is one surgical method to limit these complications. Aim: To report a case of severe postburn knee contracture successfully managed by the Ilizarov technique. Case Report: A 12-year-old male presented with features of postburn left knee flexion contracture following poorly managed burn injury sustained 9 months earlier. The flexion deformity was fixed at 160 degrees. There was an initial attempt at contracture release and split thickness skin grafting which was complicated by proximal tibial fracture. After the fracture healed, gradual correction with the Ilizarov frame was commenced. This fully corrected the knee contracture and the associated ulcer was grafted with thick split thickness skin graft. After the Ilizarov frame was removed, he maintained an excellent left knee range of motion at 6 months after. Conclusion: The Ilizarov technique is an effective and safe procedure to successfully manage severe postburn knee flexion contracture.