Contracture scar usually results from a burn injury. The edges of skin are pulled together, and the underlying layers are replaced by inelastic fibrous tissue, affecting adjacent muscles and tendons. This permanent tightening restricts normal movement of the affected area.

This is usually treated with scar removal surgery, with a skin graft or a flap procedure performed, and tissue expansion, sometimes in multiple sessions. The surgical procedures may vary according to the localization, extent and shape of the scar. This relies on the skills of a plastic surgeon specializing in burn injuries.