title: Paired five-flap Z-plasty.
abstract: Web-like contractures may occur along both the outer borders of joints, creating double-parallel contracture bands that turn into webs during movements. A combination of two "five-flap z-plasties" lying in confrontation to each other was used to release such contractures. The two Vs face each other and meet at their upper ends, forming a rhomboid (Fig. 1, a and b) or hexagon (Fig. 1, c and d) whose position remains unchanged after the contractures have been released and all the flaps transferred or advanced. This method has been used to release a total of seven double-parallel web-like linear contractures with very satisfactory results. Paired five-flap z-plasty seems to be superior when release of double web-like contractures, with the presence of sufficient spared skin, is contemplated.
authors.affiliation: Marmara University School of Medicine, Department of Plastic and Reconstructive Surgery, Istanbul, Turkiye.
authors.forename: A
authors.initials: A
authors.lastname: Numanoglu
mesh_terms: D000328:Adult; D001003:Anal Canal / Q000293:injuries / Q000601:surgery; D002056:Burns / Q000150:complications / Q000473:pathology*; D003286:Contracture / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D010502:Perineum / Q000293:injuries* / Q000601:surgery*; D013524:Surgical Flaps / Q000379:methods*