title: Combination of rhomboid flap and double Z-plasty technique for reconstruction of palmar and dorsal web space burn contractures.
abstract: BACKGROUND
  Web space contractures after a burn can cause severe impairments in hand function along with esthetic deformities. In this study we present our experience with the combined treatment technique consisted of rhomboid flap and double Z-plasty for palmar and dorsal web space contractures.
  
  
  METHODS
  Combined rhomboid flap and double Z-plasty was performed in eight patients with eleven web space contractures occurred after burn. The average follow-up was 10.9 months.
  
  
  RESULTS
  The average age of 8 patients was 16.3 years. The average duration of burn contractures was 6 years (range 1-13 years). The right third web of the patients was the most common contracted web space. In the postoperative period hematoma, infection, partial or total flap loss was not observed in any patient. Web and hand function and esthetic appearance of web spaces were satisfactory in the late postoperative period.
  
  
  CONCLUSIONS
  Rhomboid flap combined with a double Z-plasty technique was an effective choice for the treatment of palmar and dorsal web space contracture after burn.
authors.affiliation: Kirikkale University Faculty of Medicine, Plastic, Reconstructive, and Aesthetic Surgery Department, Kirikkale, Turkey. Electronic address: drelifsanli@hotmail.com.
authors.forename: Elif
authors.initials: E
authors.lastname: Sari
authors.affiliation: Yildirim Beyazit University Faculty of Medicine, Plastic, Reconstructive, and Aesthetic Surgery Department, Ankara, Turkey.
authors.forename: Ali Teoman
authors.initials: AT
authors.lastname: Tellioglu
authors.affiliation: Izmit Seka Hospital, Kocaeli, Turkey.
authors.forename: Nurgul
authors.initials: N
authors.lastname: Altuntas
authors.affiliation: Diskapi Yildirim Beyazit Education and Research Hospital, Plastic, Reconstructive, and Aesthetic Surgery Clinic, Ankara, Turkey.
authors.forename: Ergin
authors.initials: E
authors.lastname: Seven
authors.affiliation: Diskapi Yildirim Beyazit Education and Research Hospital, Plastic, Reconstructive, and Aesthetic Surgery Clinic, Ankara, Turkey.
authors.forename: Hulda Rifat
authors.initials: HR
authors.lastname: Ozakpinar
mesh_terms: D000293:Adolescent; D000328:Adult; D002056:Burns / Q000150:complications / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D003286:Contracture / Q000209:etiology / Q000601:surgery*; D062109:Dermatologic Surgical Procedures / Q000379:methods*; D004954:Esthetics; D005260:Female; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps; D055815:Young Adult
keywords: Burn contracture release; Rhomboid flap; Web space; Z-plasty