Modified Z-Plasty for Reconstruction of Webbed Scar Contractures  

作　　者：Xinfeng Huang Jiaqi Xu Yujie Cui Guangjin Su Feifei Chen Xinfeng Huang;Jiaqi Xu;Yujie Cui;Guangjin Su;Feifei Chen(Department of Burn and Plastic Surgery, The Fifth Affiliated Hospital Sun Yat-sen University, Zhuhai, China;Department of Rheumatology, The Fifth Affiliated Hospital Sun Yat-sen University, Zhuhai, China)

机构地区：[1]Department of Burn and Plastic Surgery, The Fifth Affiliated Hospital Sun Yat-sen University, Zhuhai, China [2]Department of Rheumatology, The Fifth Affiliated Hospital Sun Yat-sen University, Zhuhai, China

出　　处：《International Journal of Clinical Medicine》2023年第4期233-238,共6页临床医学国际期刊（英文）

摘　　要：Rationale: Webbed scar contractures deformity caused by burns and other factors will lead to joint disorders and affect the mental health of patients, resulting in a severe decline in quality of life. Rapid, effective and less complicated surgical methods can help patients with post-burn rehabilitation. Objective: This article argues that a modified Z-plasty can quickly improve the range of motion caused by webbed scar contractures in joint areas, including surgical methods, postoperative care and prognosis. Methods and Results: The study took place from 2018 to 2022. Thirty-two patients with joint scar contracture deformity, with a mean age of 32.5 years, were included in the study. All patients underwent contracture scar revision and modified Z-plasty repair under anesthesia. All the flaps survived and the joint function was improved. Compared with the traditional Z-plasty, the duration of the operative procedure of the modified Z-plasty was significantly shorter, more surrounding scar tissue was mobilized, and the effectiveness of postoperative scar contracture release was better. Discussions: The modified Z-plasty for scar contracture deformity in joint area is simple, rapid, effective and easy to manage.Rationale: Webbed scar contractures deformity caused by burns and other factors will lead to joint disorders and affect the mental health of patients, resulting in a severe decline in quality of life. Rapid, effective and less complicated surgical methods can help patients with post-burn rehabilitation. Objective: This article argues that a modified Z-plasty can quickly improve the range of motion caused by webbed scar contractures in joint areas, including surgical methods, postoperative care and prognosis. Methods and Results: The study took place from 2018 to 2022. Thirty-two patients with joint scar contracture deformity, with a mean age of 32.5 years, were included in the study. All patients underwent contracture scar revision and modified Z-plasty repair under anesthesia. All the flaps survived and the joint function was improved. Compared with the traditional Z-plasty, the duration of the operative procedure of the modified Z-plasty was significantly shorter, more surrounding scar tissue was mobilized, and the effectiveness of postoperative scar contracture release was better. Discussions: The modified Z-plasty for scar contracture deformity in joint area is simple, rapid, effective and easy to manage.

关 键 词：Modified Z-Plasty Surgical Flaps CONTRACTURE Plastic Surgery Procedures 

分 类 号：H32[语言文字—法语]