Versatility of modified planimetric Z-plasties in the treatment of scar with contracture.
The planimetric Z-plasty proposed by Roggendorf provides elongation by excision of a pair of triangular pieces of tissue. The application of planimetric Z-plasties has been modified by making the vertical angle flexible, and making them continuous in the same or in opposite directions. Continuous planimetric Z-plasties in the same direction elongate an oblique contracture in the longitudinal direction. Continuous planimetric Z-plasties in an alternative direction elongate a disproportioned scar contracture in the longitudinal direction. Both techniques partially reduce unsightly scarring. Furthermore, they can be used in combination with V-Y-plasties. These modifications permit rational planing of the treatment of complicated scars with contracture.
Department of Plastic Surgery, Postgraduate School of Medicine, Kyoto University, Japan.
S
S
Suzuki
S C
SC
Um
B M
BM
Kim
K
K
Shin-ya
K
K
Kawai
Y
Y
Nishimura
D000328:Adult; D001132:Arm / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D017439:Cicatrix, Hypertrophic / Q000601:surgery*; D003286:Contracture / Q000601:surgery*; D005260:Female; D005528:Foot / Q000601:surgery; D006801:Humans; D007866:Leg / Q000601:surgery; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*