How can burn contractures be prevented?

• A. Splinting devices
• B. Pressure irrigation
• C. Immediate arterial clamping
• D. Early wound closure only

Answer: (A)

Burn contractures happen when healing tissues shorten and pull joints out of their normal length and alignment. The most effective way to stop this from happening is to hold joints in a functional position during healing using splinting devices. Splints maintain the length of skin, fascia, and tendons around the joint, control the amount and direction of tension, and allow gradual, safe range of motion as the wound heals. This direct support helps prevent the tightening that leads to contractures, especially around the hands, elbows, knees, and neck. While good wound care and prompt closure can reduce scar burden, they don’t by themselves guarantee contracture prevention without proper positioning and movement strategies.