title: [Repair of contracture deformities of the patients with extremely limited donor skin at late postburn stage].
abstract: OBJECTIVE
  To explore new methods to repair postburn contracture deformities in patients with extremely limited donor skin.
  
  
  METHODS
  Five severely burned patients with extremely limited donor skin but severe deformities were enrolled in the study. The mature and the pliable scarred skin was utilized as the donor site for reconstruction of the postburn deformities. Split-thickness scarred skin was harvested for repair of postburn deformities after the scarred skin was expanded by expander, while thin razor-thin scarred skin with allo-acellular dermal matrix (ADM) was employed for the repair of postburn deformities when skin expansion was not feasible.
  
  
  RESULTS
  All the expanded scarred skin and composite skin grafts survived completely with good function and configuration. The long-term follow-up result was satisfactory, and the grafted skin was similar to that with split-thickness skin grafting.
  
  
  CONCLUSIONS
  It is feasible to employ various split-thickness scarred skin for the reconstruction of postburn deformities. This technique is a new effective procedure for the reconstruction of postburn deformities, especially for those with extreme scarcity of donor site.
authors.affiliation: Department of Burns, The Fourth Military Medical University, Xi'an 710032, Shaanxi Province, P.R. China.
authors.forename: Bi
authors.initials: B
authors.lastname: Chen
authors.forename: Chi-yu
authors.initials: CY
authors.lastname: Jia
authors.forename: Ming-da
authors.initials: MD
authors.lastname: Xu
authors.forename: Xiong-xiang
authors.initials: XX
authors.lastname: Zhu
authors.forename: Bo-tao
authors.initials: BT
authors.lastname: Wang
authors.forename: Qing-jun
authors.initials: QJ
authors.lastname: Yao
authors.forename: Ya-ling
authors.initials: YL
authors.lastname: Liu
mesh_terms: D000328:Adult; D002056:Burns / Q000473:pathology / Q000601:surgery*; D002921:Cicatrix / Q000473:pathology; D003286:Contracture / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016038:Skin Transplantation / Q000379:methods*