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Multiple seagull flaps for digital contractures in electrical burns.

R N Matthews, B D Morgan

    British Journal of Plastic Surgery
    |January 1, 1987
    PubMed
    Summary
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    Electrical burns, though less common, cause long-term hand deformities like syndactyly. A single-stage seagull flap procedure significantly improved function in a severely affected hand 10 years post-injury.

    Area of Science:

    • Plastic Surgery
    • Hand Surgery
    • Burn Reconstruction

    Background:

    • Electrical burns, while reduced by 1970s UK legislation, continue to cause long-term hand deformities.
    • Common sequelae include microdactyly, syndactyly, and digital flexion contractures, impacting hand function significantly.

    Observation:

    • A case study details a patient with severe hand injury 10 years post-electrical burn.
    • The patient presented with significant functional impairment due to burn sequelae.

    Findings:

    • Multiple seagull flaps were employed in a single-stage surgical procedure.
    • This approach resulted in sustained functional improvement of the affected hand.

    Implications:

    • The seagull flap technique offers a viable, single-stage solution for severe, long-standing hand deformities from electrical burns.

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  • This method avoids the need for prolonged postoperative splinting, potentially improving patient compliance and outcomes.