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Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2021 / Cilt: 27 - Sayı: 3

Reconstruction of burn contractures with free anterolateral thigh flap in various anatomic sites

Yavuz Keçeci
Burak Özkan
Nilgün Ertaş
Zülfükar Ulaş Bali
Levent Yoleri
Pages
337–343
Publication Date
2022-11-06
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Suprafascial elevation of the flap can be preferred for better adaptation in the neck, hand and foot and prevention of bulky appearance.

📌 3 Key Takeaways

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Objective & Hypothesis:BACKGROUND: Burn contractures that cause a restriction in extremity movements have to be reconstructed.
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Key Findings & Data:METHODS: Fifteen free ALT flaps were performed in 14 (12 male, two female) patients with a mean age of 36.6.
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Conclusion & Impact:Suprafascial elevation of the flap can be preferred for better adaptation in the neck, hand and foot and prevention of bulky appearance.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

BACKGROUND: Burn contractures that cause a restriction in extremity movements have to be reconstructed. Free microvascular flaps are generally needed in cases of severe contractures. The ideal free flap for severe contracture defects has to have a large skin island without bulk and a long pedicle for preventing recurrence and tension-free adaptation. Anterolateral thigh flap (ALT flap) that meets these features has widely been used for several indications in reconstructive surgery. Usage of ALT flap in burn contracture was described for burn and axillary contractures in literature. In this study, the usage of free ALT flaps in various anatomic contracture sites was reported. METHODS: Fifteen free ALT flaps were performed in 14 (12 male, two female) patients with a mean age of 36.6. Burn contracture defects in neck, axilla, popliteal, cubital region, plantar foot and hand were reconstructed with ALT flap. RESULTS: No total flap loss was encountered. Distal flap necrosis was seen in one case. All patients had significant improvement in a range of motions. Recurrence in contracture was seen in one patient with hand flexor contracture due to lack of physical treatment. CONCLUSION: ALT flap can safely be used in various anatomic contracture sites. Suprafascial elevation of the flap can be preferred for better adaptation in the neck, hand and foot and prevention of bulky appearance.

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Cite This Article

Keçeci, Y., Özkan, B., Ertaş, N., Bali, Z. U., Yoleri, L. (2022). Reconstruction of burn contractures with free anterolateral thigh flap in various anatomic sites. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 27 - Sayı: 3, 337–343. https://ajindex.com/articles/644070

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References (16)

  1. Song YG, Chen GZ, Song YL. The free thigh flap: A new free flap concept based on the septocutaneous artery. Br J Plast Surg 1984;37:149– 59
  2. Luo S, Raffoul W, Luo J, Luo L, Gao J, Chen L, et al. Anterolateral thigh flap: A review of 168 cases. Microsurgery 1999;19:232–8
  3. Stekelenburg CM, Marck RE, Tuinebreijer WE, de Vet HC, Ogawa R, van Zuijlen PP. A systematic review on burn scar contracture treatment: Searching for evidence. J Burn Care Res 2015;36:e153–61
  4. Heidekrueger PI, Broer PN, Tanna N, Ninkovic M. Postburn head and neck reconstruction: An algorithmic approach. J Craniofac Surg 2016;27:150–5
  5. Furnas DW, Fischer GW. The Z-plasty: Biomechanics and mathematics. Br J Plast Surg 1971;24:144–60
  6. Hudson DA, Renshaw A. An algorithm for the release of burn contractures of the extremities. Burns 2006;32:663–8
  7. Ertaş NM, Borman H. Double opposing rectangular advancement flap is an alternative technique in the treatment of wide linear postburn scar contractures. Burns 2011;37:1449–57
  8. Ertaş NM, Bozdoğan N, Erbaş E, Üsçetin İ, Küçükçelebi A, Çelebioğlu S. The use of subcutaneous pedicle rhomboid flap in the treatment of postburn scar contractures. Ann Plast Surg 2004;53:235–9
  9. Gao JH, Ogawa R, Hyakusoku H, Lu F, Hu ZQ, Jiang P, et al. Reconstruction of the face and neck scar contractures using staged transfer of expanded “Super-thin flaps”. Burns 2007;33:760–3
  10. Feng L, Gao J, Ogawa R, Hu Z, Jiang P, Feng C. Bilateral expanded cervico-pectoral “super-thin flap” for entire neck reconstruction. Ann Plast Surg 2009;63:404–8
  11. Verhaegen PD, Stekelenburg CM, van Trier AJ, Schade FB, van Zuijlen PP. Perforator-based interposition flaps for sustainable scar contracture release: A versatile, practical, and safe technique. Plast Reconstr Surg 2011;127:1524–32
  12. Chandrasegaram MD, Harvey J. Full-thickness vs split-skin grafting in pediatric hand burns-a 10-year review of 174 cases. J Burn Care Res 2009;30:867–71
  13. Iwuagwu FC, Wilson D, Bailie F. The use of skin grafts in postburn contracture release: A 10-year review. Plast Reconstr Surg 1999;103:1198– 204
  14. Fifer TD, Pieper D, Hawtof D. Contraction rates of meshed, nonexpanded split-thickness skin grafts versus split-thickness sheet grafts. Ann Plast Surg 1993;31:162–3
  15. Abramson DL, Pribaz JJ, Orgill DP. The use of free tissue transfer in burn reconstruction. J Burn Care Rehabil 1996;17:402–8
  16. Parmaksizoğlu AF, Unal MB, Cansü E. The reconstruction of foot soft tissue de