[EFFECTIVENESS OF DIFFERENT FLAPS FOR REPAIR OF SEVERE PALM SCAR CONTRACTURE DEFORMITY].
OBJECTIVE
To evaluate the effectiveness of different flaps for repair of severe palm scar contracture deformity.


METHODS
Between February 2013 and March 2015, thirteen cases of severe palm scar contracture deformity were included in the retrospective review. There were 10 males and 3 females, aged from 14 to 54 years (mean, 39 years). The causes included burn in 9 cases, hot-crush injury in 2 cases, chemical burn in 1 case, and electric burn in 1 case. The disease duration was 6 months to 6 years (mean, 2.3 years). After excising scar, releasing contracture and interrupting adherent muscle and tendon, the soft tissues and skin defects ranged from 6.0 cm x 4.5 cm to 17.0 cm x 7.5 cm. The radial artery retrograde island flap was used in 2 cases, the pedicled abdominal flaps in 4 cases, the thoracodorsal artery perforator flap in 2 cases, the anterolateral thigh flap in 1 case, and the scapular free flap in 4 cases. The size of flap ranged from 6.0 cm x 4.5 cm to 17.0 cm x 7.5 cm.


RESULTS
All flaps survived well. Venous thrombosis of the pedicled abdominal flaps occurred in 1 case, which was cured after dressing change, and healing by first intention was obtained in the others. The mean follow-up time was 8 months (range, 6-14 months). Eight cases underwent operation for 1-3 times to make the flap thinner. At last follow-up, the flaps had good color, and the results of appearance and function were satisfactory.


CONCLUSIONS
Severe palm scar contracture deformity can be effectively repaired by proper application of different flaps.
Mengru
M
Pang
Haitao
H
Xiao
Huaisheng
H
Wang
Xiaoxue
X
Liu
Junjie
J
Chen
Ying
Y
Cen
D000293:Adolescent; D000328:Adult; D002056:Burns; D002921:Cicatrix / Q000150:complications / Q000601:surgery*; D003286:Contracture / Q000601:surgery*; D005260:Female; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017534:Radial Artery; D019651:Plastic Surgery Procedures / Q000379:methods*; D012092:Replantation; D012189:Retrospective Studies; D016038:Skin Transplantation; D013524:Surgical Flaps / Q000098:blood supply; D013710:Tendons; D016896:Treatment Outcome; D014945:Wound Healing; D055815:Young Adult