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Post-burn axillary contracture: A therapeutic challenge!
Durga Karki1, Nikhil Mehta1, Ravi Prakash Narayan1
1Department of Burns and Plastic Surgery, VMMC and Safdarjung Hospital, New Delhi, India.
Summary
This study reviewed 44 patients with axillary post-burn scar contractures, highlighting surgical options like skin grafts and various flaps. Flap reconstruction demonstrated superior functional and aesthetic outcomes for axillary contracture management.
Area of Science:
- Plastic Surgery
- Burn Reconstruction
- Scar Contracture Management
Background:
- Axillary post-burn scar contracture presents significant reconstructive challenges.
- Achieving a wide range of abduction is crucial for functional recovery.
Purpose of the Study:
- To review surgical options for managing axillary contractures.
- To evaluate functional and aesthetic outcomes of different reconstructive techniques.
Main Methods:
- Retrospective study of 44 patients with axillary contractures (2009-2013).
- Surgical release and resurfacing using skin grafts and/or flaps (propeller, parascapular).
- 12-month follow-up assessing functional (abduction) and aesthetic results.
Main Results:
- Mean age of patients was 17.1 years; 25 males, 19 females.
- Various surgical techniques were employed, including split-thickness skin grafts (34.1%) and propeller flaps (27.27%).
- Mean improvement in abduction was 156°, with satisfactory functional and aesthetic outcomes.
Conclusions:
- Surgical approach for axillary contractures depends on scar pattern and surrounding skin.
- Flap reconstruction is preferred over skin grafts for better functional and aesthetic results.
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