Use of rhomboid flap and double Z-plasty technique in the treatment of chronic postburn contractures

Background: Multiple reconstructive methods have been used for the treatment of postburn scar contractures including skin grafting, a geometric relaxation techniques, local flaps and free flaps. Purpose: In the present study, the authors evaluated efficiency of the use of rhomboid flap and double Z-plasty technique in the treatment of chronic postburn contractures. Methods: Twelve white male with postburn scar contracture were treated using rhomboid and double Z-plasty technique. The cause of burn, duration of contracture, postoperative follow-up period, preoperative and postoperative motion lag of joints and improvement in motion were recorded. Conclusions: All operations were successful. Severe contracture lines crossing flexion folds can be released effectively by using rhomboid flap and double Z-plasty technique without distorting the specialized flexion areas and with broken scar lines which is essential to avoid from recurrence. (C) 2006 Elsevier Ltd and ISBI. All rights reserved.