The inner arm fasciocutaneous flap

Area of Science:

• Plastic Surgery
• Burn Reconstruction
• Microsurgery

Background:

• Burn scar contractures of the anterior axillary fold significantly impair arm mobility.
• Previous surgical interventions for axillary contractures have varying success rates and complication profiles.

Purpose of the Study:

• To evaluate the efficacy of a fasciocutaneous flap from the inner upper arm for correcting anterior axillary fold burn scar contractures.
• To assess the simplicity and recovery time associated with this surgical technique.

Main Methods:

• A fasciocutaneous flap was raised from the inner aspect of the upper arm.
• The flap was utilized to release 16 cases of burn scar contractures affecting the anterior axillary fold.
• Post-operative management was assessed, focusing on the need for prolonged splinting.

Main Results:

• The surgical technique successfully released 16 burn scar contractures of the anterior axillary fold.
• The procedure was found to be relatively quick and simple to perform.
• Adequate correction of contractures was achieved without the necessity for prolonged post-operative splinting.

Conclusions:

• Fasciocutaneous flaps from the inner upper arm offer a viable and effective solution for anterior axillary fold burn scar contractures.
• This method provides satisfactory functional and aesthetic outcomes with a straightforward surgical approach and simplified recovery.