Repair of extremity scar contracture by expanded local flaps

VernacularTitle:扩张后皮瓣修复四肢瘢痕挛缩的临床效果
Author: Xianjie MA ¹ ; Yang LI ; Hengxin LIU ; Liwei DONG ; Jiangbo CUI
Author Information

1. 空军军医大学西京医院整形外科
Keywords: Cicatrix; Contracture; Extremities; Dilatation; Surgical flaps
From: Chinese Journal of Medical Aesthetics and Cosmetology 2019;25(2):122-124
CountryChina
Language:Chinese
Abstract: Objective To investigate the application of expanded local flap in repairing extremity scars.Methods Thirty patients with extremity scars contracture as a result of trauma,surgery or infection during July 2000 and March 2013 were included.There were 11 male and 19 female patients with age ranging from 11 to 34 years.Tissue expansion,scar resection,flap transfer and scar management were involved in this process.Results There 24 patients suffered from upper extremity scars and 6 patients suffered from lower extremity scars.Expander exposure was noted in 3 patients,and 3 patients suffered from infection during the expansion.During the 6-month to 1-year follow-up,all patients satisfied with the results in terms of the skin texture,color,flexibility after the treatment with expanded local skin flap.Conclusions The expanded local flaps are suitable for the repair of the longitudinal and oblique scars in the extremities.