New Advantages of Double Combined Z-Plasty for Wide Burn Scar Contracture

Abstract

ABSTRACT

ABSTRACT

OBJECTIVES: The double combined Z-plasty technique was developed for treating wide scar contractures. The major advantages are that the scar can be completely divided by the skin inserted from both sides, a greater elongation effect can be obtained in the full width of the scar than with conventional Z-plasty, the zigzag suture line prevents recurrence of contractures, the design is simple, and the procedure is easy. We successfully treated a variety of burn scar contractures using this technique and had additional advantages that were not documented in the original report.

MATERIALS AND METHODS: We treated 3 cases of burn scar contractures using the double combined Z-plasty technique.

RESULTS: The burn scar contractures were successfully released by this technique. The technique allows for expansion and growth in small children with adequately sized triangular flaps of intact skin. In addition, the flap size can be adjusted according to needs during the procedure. Even when the surrounding skin is a scar tissue, the technique can provide a marked improvement. In addition, this technique is well-suited to multidirectional joints such as the neck and axillar area.

CONCLUSIONS: Burn scar contractures require varying techniques according to the degree, width, and area affected. The double combined Z-plasty should be considered as an effective technique for wide burn scar contractures.