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Long Arm Double Asymmetrical Sliding Flaps: A Technique to Treat Flexion Contractures of Digits

Published:October 01, 2021DOI:https://doi.org/10.1016/j.jhsa.2021.08.005
      Contracture involving flexor aspect of the fingers is one of the common sequelae encountered after burns, infection, and trauma. In the treatment of contractures, the surgeon is often challenged by the paucity of skin flaps to cover the joint area. It is then covered with skin grafts, leading to recurrence. When there is a large discrepancy between the required and the available length of skin, traditional Z-plasty techniques fail to overcome this deficiency of the skin. We employ 2 long skin flaps to cover the joint, using all the available skin around the contracture and leaving areas on the sides of the digit that are covered by full-thickness skin grafts.

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      References

        • Schwarz R.J.
        Management of postburn contractures of the upper extremity.
        J Burn Care Res. 2007; 28: 212-219
        • Shaw D.T.
        • Li C.S.
        • Richey D.G.
        • Nahigian S.H.
        Interdigital butterfly flap in the hand (the double-opposing Z-plasty).
        J Bone Joint Surg Am. 1973; 55: 1677-1679
        • Hyakusoku H.
        • Fumiiri M.
        The square flap method.
        Br J Plast Surg. 1987; 40: 40-46
        • Chapman P.
        • Banerjee A.
        • Campbell R.C.
        Extended use of the Mustardé dancing man procedure.
        Br J Plast Surg. 1987; 40: 432-435
        • Smith P.J.
        • Harrison S.H.
        The “seagull” flap for syndactyly.
        Br J Plast Surg. 1982; 35: 390-393
        • Uzunismail A.
        Utility of the “seagull” flap for unoperated simple complete syndactyly in adults.
        Br J Plast Surg. 1988; 41: 548-550
        • MacDougal B.
        • Wray Jr., R.C.
        • Weeks P.M.
        Lateral-volar finger flap for the treatment of burn syndactyly.
        Plast Reconstr Surg. 1976; 57: 167-171
      1. Achauer BM, VanderKam VM. Burn reconstruction. In: Auchauer BM, ed. Plastic Surgery: Indications, Operations, and Outcomes. Volume 1. Mosby; 2000.

        • Greenhalgh D.G.
        • Gaboury T.
        • Warden G.D.
        The early release of axillary contractures in pediatric patients with burns.
        J Burn Care Rehabil. 1993; 14: 39-42