Free medial thigh perforator flap for reconstruction of the dynamic and static complex burn scar contracture

Chung Ho Feng, Jui Yung Yang, Shiow Shuh Chuang, Chun Yuan Huang, Yen Chang Hsiao, Chao Yi Lai

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Introduction: Dynamic and static complex scar contractures after burn commonly cause tendon adhesion, deep adipose tissue stiffness and further limitation of major joints motion. Skin autografting or locoregional flaps are not adequate reconstructive options, because of the easy recurrence and limitation of donor sites. Therefore, free perforator flaps are playing increasing role in reconstruction of complex scar contractures. Patients and methods: The free medial thigh perforator (MTP) flap is an addition to the reconstructive armamentarium and is particularly useful since the medial thigh is commonly spared in burn injury. Between December 2001 and October 2005, eight patients with severe post-burn scar contractures received free MTP flaps treatment in the Linkou Burn Center. The free MTP flap harvest was modified to enhance its reliability and versatility. Flap sizes ranged from 5 × 15 cm to 8 × 24 cm. The follow-up period was from 12 to 26 months. Flap harvest is rapid, averaging 37.8 min. Results: The significantly improved range of motion of the contracture joints approximated to normal activity at 6-22-month follow-up (p <0.05). No free major MTP flap complication was noted, except for mild marginal necrosis in one case. Conclusion: The free MTP flap with new modified harvest is a good choice for dynamic an static complex scar contractures of major joints, due to short harvesting time and few variations of the pedicle. However, thick skin paddle was considered in secondary hand reconstruction.

Original languageEnglish
Pages (from-to)565-571
Number of pages7
JournalBurns
Volume36
Issue number4
DOIs
Publication statusPublished - Jun 2010
Externally publishedYes

Fingerprint

Perforator Flap
Contracture
Thigh
Cicatrix
Joints
Burn Units
Skin
Free Tissue Flaps
Autologous Transplantation
Articular Range of Motion
Burns
Tendons
Adipose Tissue
Necrosis
Hand
Tissue Donors
Recurrence
Wounds and Injuries

Keywords

  • Complex burn scar contractures
  • Medial thigh perforator flap

ASJC Scopus subject areas

  • Emergency Medicine
  • Critical Care and Intensive Care Medicine
  • Surgery

Cite this

Free medial thigh perforator flap for reconstruction of the dynamic and static complex burn scar contracture. / Feng, Chung Ho; Yang, Jui Yung; Chuang, Shiow Shuh; Huang, Chun Yuan; Hsiao, Yen Chang; Lai, Chao Yi.

In: Burns, Vol. 36, No. 4, 06.2010, p. 565-571.

Research output: Contribution to journalArticle

Feng, Chung Ho ; Yang, Jui Yung ; Chuang, Shiow Shuh ; Huang, Chun Yuan ; Hsiao, Yen Chang ; Lai, Chao Yi. / Free medial thigh perforator flap for reconstruction of the dynamic and static complex burn scar contracture. In: Burns. 2010 ; Vol. 36, No. 4. pp. 565-571.
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abstract = "Introduction: Dynamic and static complex scar contractures after burn commonly cause tendon adhesion, deep adipose tissue stiffness and further limitation of major joints motion. Skin autografting or locoregional flaps are not adequate reconstructive options, because of the easy recurrence and limitation of donor sites. Therefore, free perforator flaps are playing increasing role in reconstruction of complex scar contractures. Patients and methods: The free medial thigh perforator (MTP) flap is an addition to the reconstructive armamentarium and is particularly useful since the medial thigh is commonly spared in burn injury. Between December 2001 and October 2005, eight patients with severe post-burn scar contractures received free MTP flaps treatment in the Linkou Burn Center. The free MTP flap harvest was modified to enhance its reliability and versatility. Flap sizes ranged from 5 × 15 cm to 8 × 24 cm. The follow-up period was from 12 to 26 months. Flap harvest is rapid, averaging 37.8 min. Results: The significantly improved range of motion of the contracture joints approximated to normal activity at 6-22-month follow-up (p <0.05). No free major MTP flap complication was noted, except for mild marginal necrosis in one case. Conclusion: The free MTP flap with new modified harvest is a good choice for dynamic an static complex scar contractures of major joints, due to short harvesting time and few variations of the pedicle. However, thick skin paddle was considered in secondary hand reconstruction.",
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N2 - Introduction: Dynamic and static complex scar contractures after burn commonly cause tendon adhesion, deep adipose tissue stiffness and further limitation of major joints motion. Skin autografting or locoregional flaps are not adequate reconstructive options, because of the easy recurrence and limitation of donor sites. Therefore, free perforator flaps are playing increasing role in reconstruction of complex scar contractures. Patients and methods: The free medial thigh perforator (MTP) flap is an addition to the reconstructive armamentarium and is particularly useful since the medial thigh is commonly spared in burn injury. Between December 2001 and October 2005, eight patients with severe post-burn scar contractures received free MTP flaps treatment in the Linkou Burn Center. The free MTP flap harvest was modified to enhance its reliability and versatility. Flap sizes ranged from 5 × 15 cm to 8 × 24 cm. The follow-up period was from 12 to 26 months. Flap harvest is rapid, averaging 37.8 min. Results: The significantly improved range of motion of the contracture joints approximated to normal activity at 6-22-month follow-up (p <0.05). No free major MTP flap complication was noted, except for mild marginal necrosis in one case. Conclusion: The free MTP flap with new modified harvest is a good choice for dynamic an static complex scar contractures of major joints, due to short harvesting time and few variations of the pedicle. However, thick skin paddle was considered in secondary hand reconstruction.

AB - Introduction: Dynamic and static complex scar contractures after burn commonly cause tendon adhesion, deep adipose tissue stiffness and further limitation of major joints motion. Skin autografting or locoregional flaps are not adequate reconstructive options, because of the easy recurrence and limitation of donor sites. Therefore, free perforator flaps are playing increasing role in reconstruction of complex scar contractures. Patients and methods: The free medial thigh perforator (MTP) flap is an addition to the reconstructive armamentarium and is particularly useful since the medial thigh is commonly spared in burn injury. Between December 2001 and October 2005, eight patients with severe post-burn scar contractures received free MTP flaps treatment in the Linkou Burn Center. The free MTP flap harvest was modified to enhance its reliability and versatility. Flap sizes ranged from 5 × 15 cm to 8 × 24 cm. The follow-up period was from 12 to 26 months. Flap harvest is rapid, averaging 37.8 min. Results: The significantly improved range of motion of the contracture joints approximated to normal activity at 6-22-month follow-up (p <0.05). No free major MTP flap complication was noted, except for mild marginal necrosis in one case. Conclusion: The free MTP flap with new modified harvest is a good choice for dynamic an static complex scar contractures of major joints, due to short harvesting time and few variations of the pedicle. However, thick skin paddle was considered in secondary hand reconstruction.

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