Use of rhomboid flap and double Z-plasty technique in the treatment of chronic postburn contractures |
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Authors: | Ulkur Ersin Acikel Cengiz Evinc Rahmi Celikoz Bahattin |
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Affiliation: | GATA Haydarpasa Egitim Hastanesi, Department of Plastic and Reconstructive Surgery and Burn Unit, Tibbiye Caddesi, 34668 Istanbul, Turkey. eulkur@yahoo.com |
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Abstract: | BACKGROUND: Multiple reconstructive methods have been used for the treatment of postburn scar contractures including skin grafting, 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. |
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