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Year : 2011  |  Volume : 19  |  Issue : 1  |  Page : 58-61

Use of local skin as an islanded flap in coverage of post burn contracture release

Department of Plastic Surgery, SSG Hospital & Medical College, Baroda, India

Correspondence Address:
Kinnari A Vyas
201, Pratiksha Flats, 39, Fatehgunj. Vadodara
Kinnari A Vyas
201, Pratiksha Flats, 39, Fatehgunj. Vadodara
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Source of Support: None, Conflict of Interest: None

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Coverage of post burn contracture release areas with the flap and not graft has always remained a goal for a plastic surgeon. However, limited availability of healthy tissue in scarred area limits the use of traditional local flaps in most of the cases. We tried covering these raw areas in the centre with flap and grafted surrounding areas. This helped us achieve better cosmetic appearance, good patient compliance for post op splinting and exercise and coverage of important neurovascular structures in few cases. Large raw areas resulting after post burn contracture release, once grafted, tend to recontract. It is always desirable to break such long grafts by putting flap in centre directly over joint where there will be maximum movement and maximum chance of contracture. Unscarred skin if present in the nearby vicinity of contracture should be utilized as a flap to decrease graft recontracture.

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