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

被引:13
作者
Ulkur, Ersin
Acikel, Cengiz
Evinc, Rahmi
Celikoz, Bahattin
机构
[1] GATA Haydarpasa Egitim Hastanesi, Dept Plast & Reconstruct Surg, TR-34668 Istanbul, Turkey
[2] Burn Unit, TR-34668 Istanbul, Turkey
关键词
postburn contracture; rhomboid flap; Z-plasty;
D O I
10.1016/j.burns.2006.01.015
中图分类号
R4 [临床医学];
学科分类号
1002 [临床医学]; 100602 [中西医结合临床];
摘要
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.
引用
收藏
页码:765 / 769
页数:5
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