The Modification of Five-Flap Z-Plasty for Web Contracture
1The First Hospital Affiliated to the People's Literative Army Hospital, 51#, Fucheng Road, Haidian District, Beijing, 100048, China.
Aesthetic Plastic Surgery
|August 28, 2015
Summary
A modified five-flap Z-plasty effectively reconstructs axillary and elbow web contractures, significantly lengthening scar axis for improved outcomes. This technique offers an easy-to-execute solution with no recurrence observed.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Burn Reconstruction
Background:
- Web contractures, common after burns or trauma, often require surgical intervention.
- Traditional Z-plasty techniques have limitations in scar release.
- A modified five-flap Z-plasty was developed to improve scar axis lengthening.
Purpose of the Study:
- To evaluate the efficacy of a modified five-flap Z-plasty for axillary and elbow web contractures.
- To assess the technique's ability to maximize contracture relaxation and scar axis lengthening.
Main Methods:
- Twenty patients with 27 web contractures underwent operations using the modified technique.
- The primary cause of contractures was burn injury (17 patients).
- The procedure aimed for maximum contracture relaxation.
Main Results:
- All flaps demonstrated successful survival without necrosis.
- Patients achieved good functional recovery one year post-operation.
- No recurrence of contractures was observed, with satisfactory scar band release.
Conclusions:
- The modified five-flap Z-plasty is a simple and effective technique for web and linear contractures.
- It offers superior scar axis lengthening compared to traditional methods.
- The technique is recommended for reconstructive surgery of web contractures.
