Running Y-V-plasty for burn scar contracture

Area of Science:

• Plastic Surgery
• Burn Reconstruction
• Scar Management

Background:

• Burn scar contractures, particularly linear or cord-like ones, significantly impair function and aesthetics.
• Traditional surgical methods for contracture release often involve extensive tissue manipulation, increasing risks of flap compromise and recurrence.

Purpose of the Study:

• To evaluate the efficacy and safety of the running Y-V-plasty technique for treating burn scar contractures.
• To assess the technique's impact on wound morbidity, recurrence rates, and patient recovery.

Main Methods:

• A retrospective review of 17 patients (24 regions) who underwent running Y-V-plasty for burn scar contractures over a 3-year period.
• The technique involves complete interruption and lengthening of the scar band without undermining or transposition of skin flaps.

Main Results:

• The running Y-V-plasty successfully released scar bands, allowing for significant lengthening without compromising flap circulation.
• Wound morbidity was notably low, with no instances of flap necrosis or circulatory embarrassment.
• No recurrence of contractures was observed during the follow-up periods.
• Patients experienced shorter hospital stays and were able to mobilize affected extremities earlier.

Conclusions:

• The running Y-V-plasty is a highly effective and safe technique for managing cord-like or linear burn scar contractures.
• This method offers distinct advantages, including reduced surgical complexity, low complication rates, and improved functional outcomes.
• The technique facilitates faster recovery and earlier return to function for patients with burn scar contractures.