Background
Post-burn sequelae, including contractures, hypertrophic scars, and non-healing ulcers, continue to pose significant functional and psychosocial challenges in burn survivors, especially in low- and middle-income countries like India. Despite advances in acute burn care, delayed presentation and limited access to reconstructive surgery contribute to a high burden of preventable deformities. This study aimed to evaluate the clinical patterns, surgical management, and functional outcomes of post-burn sequelae in a tertiary care center.

Methods
This prospective observational study included 103 patients presenting with post-burn sequelae over a two-year period. Detailed demographic, etiological, and anatomical data were recorded. Surgical interventions included split-thickness skin grafts (STSG), local flaps, regional flaps, and composite procedures. Functional outcomes were assessed using joint range of motion (ROM) at baseline and six months postoperatively. Complications and patient satisfaction were also documented. Statistical analysis included ANOVA and chi-square/Fisher’s exact test with a significance threshold of p < 0.05.

Results
The mean age of patients was 24.6 ± 13.1 years, with 56.3% males. Flame burns (67%) were the most common etiology, and contractures were the predominant sequela (86.4%), mainly involving the neck, hand, and elbow. A total of 119 surgical procedures were performed; STSG (n = 67) was the most common technique. Mean take rate was highest for STSG (94.6 ± 7.1%), followed by local flaps (92.3 ± 6.9%). Functional outcomes showed significant improvement in ROM across all joints (p < 0.001). Postoperative complications were low, and overall patient satisfaction was high, with 74.8% rating outcomes as good to excellent.

Conclusion
Tailored surgical management of post-burn sequelae, particularly with early intervention and appropriate reconstruction techniques, results in significant functional recovery and high patient satisfaction. The findings underscore the need for integrated burn care systems encompassing acute management, rehabilitation, and long-term reconstructive services to reduce disability from burn injuries in resource-limited settings.