Comparison of Gain In Length After Post Burn Contracture Release By Z-Plasty And Square Flap

Authors

  • Aiman Naseem Department of Plastic Surgery/Dow University of Health Sciences, Civil Hospital Karachi Pakistan
  • Faisal Akhlaq Department of Plastic Surgery/Dow University of Health Sciences, Civil Hospital Karachi Pakistan
  • Hyder Ali Department of Plastic Surgery/Dow University of Health Sciences, Civil Hospital Karachi Pakistan
  • Usamah bin Waheed Department of Plastic Surgery/Dow University of Health Sciences, Civil Hospital Karachi Pakistan
  • Erum Naz Department of Plastic Surgery/Dow University of Health Sciences, Civil Hospital Karachi Pakistan.
  • Maryam Noor Department of Plastic Surgery/Dow University of Health Sciences, Civil Hospital Karachi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v74i2.8447

Keywords:

Gain in length, Post burn contracture Release, Square Flap, Z-plasty

Abstract

Objective: To compare the mean differences in gain in length after post-burn contracture release by z-plasty and square flap.

Study Design: Case Series

Place and Duration of Study: Plastic and Reconstructive Surgery Department, Dr Ruth KMPfau Civil Hospital, Karachi Pakistan, from Apr to Sep 2021.

Methodology: Sixty patients were divided as Z-plasty and square flap groups. The length of the contracture zone was measured. Z-plasty was performed to improve the functional and cosmetic appearance of the scar. A square flap was made to release the contracture. Splintage was maintained for two weeks after its release.

Results: The mean contracture length three weeks after Z-plasty release was 7.12±4.14cm and 15.39±4.66cm in square flap. Significant mean differences among techniques were observed among contracture length (p=0.001) and gain in length (p=0.001). The cubital fossa was the most common region treated with Z-plasty, while the finger was the most common region treated with square flap. The results showed a highly significant association of regions with respect to surgical techniques (p=0.001). An insignificant association was observed between gender (p=0.436) and cause of burn (p=0.136).

Conclusion: The square flap technique provides greater length gains than a Z-plasty technique.

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Published

28-06-2024

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Original Articles

How to Cite

1.
Naseem A, Faisal Akhlaq, Hyder Ali, Usamah bin Waheed, Erum Naz, Maryam Noor. Comparison of Gain In Length After Post Burn Contracture Release By Z-Plasty And Square Flap. Pak Armed Forces Med J [Internet]. 2024 Jun. 28 [cited 2024 Dec. 25];74(3):758-62. Available from: https://pafmj.org/PAFMJ/article/view/8447