instruction: 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 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
output: hi 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 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 you will be gaining non surgical methods are there for removing the fibrosis but definitely not for such a massive one ray of the knee and hip mri of thigh region vascular doppler of donor vessel for a free flap scar and fibrosis excision with reconstruction by free flap