Objective: To summarize the clinical experience in the management of severe postburn scar contracture in the lower extremities.

Methods: The scars in popliteal fossa and ankle joint were excised. Traction and skin grafting were employed in the management of contracture deformity in these areas.

Results: Severe postburn scar contracture deformity in sixty postburn patients could be corrected by constant traction and skin grafting.

Conclusions: Scar excision and lysis with constant traction might be an optimal method in the management of severe postburn scar contracture deformity of joints in the lower extremities and satisfactory results could be obtained without tendon grafting and elongation.