Abstract
Contracted scars and skin grafts covering the shoulder joint flexion lateral and medial surfaces cause a total adduction contracture. Scars have a severe scar surface deficit, excluding use of the local flap techniques. Skin transplants in the axilla shrink and contracture recurs; the big flaps used present a traumatic and deforming procedure. To prevent skin transplants from shrinkage and contracture recurrence, we developed a new technique based on scar quadrangular axillary subcutaneous pedicle flap and skin transplants. Excellent outcomes have elevated the level of rehabilitation of burn patients with severe shoulder edge adduction contractures. The new surgical method and results of its implementation are presented in this chapter.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Grishkevich VM. Shoulder adduction contracture after burns: anatomy and treatment with quadrangular local scar subcutaneous pedicle flap, a new approach. Burns. 2013;39:1423–9.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Grishkevich, V.M., Grishkevich, M. (2018). Shoulder Total Adduction Contracture After Burns: Anatomy and Treatment with Quadrangular Local Subcutaneous Pedicle Flap. In: Plastic and Reconstructive Surgery of Burns. Springer, Cham. https://doi.org/10.1007/978-3-319-78714-5_22
Download citation
DOI: https://doi.org/10.1007/978-3-319-78714-5_22
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-78713-8
Online ISBN: 978-3-319-78714-5
eBook Packages: MedicineMedicine (R0)