[Repairing of inguinal scar contracture deformity in children with transpositional fasciocutaneous flap].
OBJECTIVE
To investigate the repairing method of inguinal scar contracture deformity in children with transpositional fasciocutaneous flap of anterior-medial side of thigh.


METHODS
From August 1989 to August 1999, 33 cases with inguinal scar contracture deformity were adopted in this study. Among them, there were 26 males and 7 females, aged from 3 to 11 years old. The transpositional fasciocutaneous flap consisted of a huge tongue-shape flap with a pedicled triangular flap between the edge of skin defect and the above tongue-shape flap. The maximal size of the transpositional fasciocutaneous flap was 18 cm x 10 cm and the minimal size was 13 cm x 8 cm, the transpositional angle was 60 degrees to 80 degrees. During operation, the tongue-shape flap was used to repair the inguinal region and the triangular flap was used to repair the donor site in one stage.


RESULTS
All the flaps survived. The function and appearance of perineum were satisfactory.


CONCLUSIONS
The transpositional fasciocutaneous flap is suitable for repairing the inguinal scar contracture deformity in children, and skin graft is unnecessary.
Yang
J S
JS
Department of Plastic Surgery, 159 Hospital of PLA, Zhumadian Henan, P. R. China 463008.
Chang
M
M
Li
J C
JC
D002056:Burns / Q000150:complications*; D002648:Child; D002675:Child, Preschool; D002921:Cicatrix / Q000209:etiology / Q000601:surgery*; D003286:Contracture / Q000209:etiology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006119:Groin; D006801:Humans; D008297:Male; D013524:Surgical Flaps