Versatility Of Square Flaps In Post-Burn Contractures Involving Upper Limb

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Burn Management

Background:

• Post-burn contractures significantly limit upper limb function.
• Various surgical techniques exist, with Z-plasty and split-thickness skin grafts (SSG) being common.
• The square flap technique's efficacy for these contractures requires further assessment.

Purpose of the Study:

• To evaluate the effectiveness of the square flap technique for upper limb post-burn contractures.
• To assess range of motion, aesthetic outcomes, and patient/surgeon satisfaction.
• To determine the recurrence rate of contractures treated with the square flap.

Main Methods:

• Eleven patients with twelve upper limb contractures (axilla, elbow, finger) underwent release using the square flap technique.
• Post-operative follow-up lasted at least six months.
• Outcomes measured included range of motion, aesthetic results, patient satisfaction, and surgeon satisfaction.

Main Results:

• All patients achieved a satisfactory post-operative range of motion.
• No recurrence of contractures was observed.
• Seven out of eleven patients were satisfied, and four were somewhat satisfied.
• Surgeons reported satisfaction in all cases.

Conclusions:

• The square flap technique is a reliable and straightforward option for treating mild to moderate post-burn contractures.
• It is particularly effective for contractures of the axillary folds, elbow, and fingers.
• The technique demonstrates a low recurrence rate and positive functional outcomes.