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

Burns. 2006 Sep;32(6):765-9. doi: 10.1016/j.burns.2006.01.015. Epub 2006 Jul 11.

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Burns / surgery*
  • Chronic Disease
  • Contracture / surgery*
  • Humans
  • Male
  • Skin Transplantation / methods*
  • Surgical Flaps*