[The treatment of deformity of axillary scar contracture after burns].
OBJECTIVE
To explore the best methods to repair the deformity of axillary scar contracture after burns.


METHODS
Ninety cases in 78 patients with axillary scar contracture after burns from January 1998 to January 2002 were analyzed. According to the severity of the deformity and its influence on the function of the shoulder joint. 46 cases suffered from mild degree axillary scar contracture, 26 cases with moderate and 18 with severe degree. The deformities of axillary scar contracture were repaired by Z plasty (18 cases), five-flap plasty (14 cases), skin graft (23 cases), Z plasty and skin graft (14 cases), transfer of scapular skin flaps (5 cases), lateral throatic skin flaps (4 cases) and scar flaps (12 cases), respectively. Exopexy, anti-scar drug and functional exercises were applied postoperationally.


RESULTS
All the flaps were survived with first intention, except for necrosis of the split skin graft occurring in 4 cases. The function and configuration in all the cases were satisfactory after 6 months to 4 years follow-up.


CONCLUSIONS
Appropriate methods should be chosen to restore the function and configuration of the shoulder joint and improve patients' living condition according to the size, degree of the deformity of axillary scar contracture after burns.
Chai
Jia-ke
JK
Department of Burn and Plastic Surgery, 304th Hospital of PLA, Beijing 100037, China.
Song
Hui-feng
HF
Chen
Min-liang
ML
Chen
Bao-ju
BJ
Jing
Sa
S
Xu
Ming-huo
MH
Wu
Yan-qiu
YQ
Zhou
Ning
N
D000293:Adolescent; D000328:Adult; D001365:Axilla / Q000473:pathology; D002056:Burns / Q000150:complications*; D002648:Child; D002675:Child, Preschool; D002921:Cicatrix / Q000209:etiology / Q000534:rehabilitation / Q000601:surgery*; D003286:Contracture / Q000209:etiology / Q000534:rehabilitation / Q000628:therapy*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome