Reversed Z-plasty and its variations to release wide-scar contraction.
OBJECTIVE
Z-plasty is one of the most widely used techniques in plastic and reconstructive surgery. It is useful especially to release linear-scar contractures, yet difficult to use for wide scars. The aim of this study was to report on a new technique for the effective release of contractures for wide scars using reversed Z-plasty and its variations.


METHODS
This report describes a novel technique to release contractures effectively for wide scars using reversed Z-plasty and its variation. The design is a reverse style of conventional Z-plasty. In our case series, the reversed three-flap, four-flap Z-plasty or its variation was chosen depending on the width of the contracted scar.


RESULTS
We performed this technique on 28 patients. All wounds healed well and the scar contracture was satisfactorily released.


CONCLUSIONS
This procedure is useful and practical for wide-scar contractures.
Lu
L
Zhang
Rong
R
Jin
Yao-Ming
YM
Shi
Bao-Shan
BS
Sun
Zhe-Ming
ZM
Pu
Yu-Guang
YG
Zhang
D000328:Adult; D002056:Burns / Q000150:complications / Q000601:surgery*; D002921:Cicatrix / Q000150:complications / Q000601:surgery*; D003286:Contracture / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps; D016896:Treatment Outcome
Contraction; Randomised flap; Reversed Z-plasty; Wide scar