Further application of VM-plasty

Area of Science:

• Plastic Surgery
• Reconstructive Surgery

Background:

• Scar contractures, particularly web contractures, limit range of motion and function.
• Conventional surgical techniques for contracture release often involve excision and may lead to recontracture.

Observation:

• A refined VM-plasty technique is presented, modifying the standard approach by retaining "dog ear" flaps.
• Flaps are meticulously designed in a zigzag pattern, avoiding conventional excision.

Findings:

• The refined VM-plasty technique enhances lateral extension.
• This method effectively prevents scar recontracture, demonstrating superior outcomes compared to traditional methods.
• Successful application in finger web contractures and other scar regions was observed.

Implications:

• The modified VM-plasty offers a promising alternative for managing scar contractures.
• This technique provides improved functional and aesthetic outcomes with reduced risk of recurrence.
• Further research may explore its broader application in diverse reconstructive scenarios.