Use of Subcutaneous Pedicled Rhomboid Flap Technique for Surgical Treatment of Burn Contractures

Mustafa Nihat Koç

doi:10.5152/EurJTher.2018.277

Authors

Mustafa Nihat Koç Department of Plastic, Reconstructive and Aesthetic Surgery, Gaziantep University, School of Medicine, Gaziantep https://orcid.org/0000-0003-2390-3109

DOI:

https://doi.org/10.5152/EurJTher.2018.277

Keywords:

Diamond flap, contracture, burn, Z-plasty, local flaps

Abstract

Objective: Release of contractures mainly due to burn scars mandates reconstruction with a well-vascularized tissue and an aesthetically acceptable result. Many techniques of the reconstructive ladder have been applied. Local flaps are the first choice. In this study, we present a superior local flap alternative, the diamond flap (subcutaneous pedicled rhomboid flap), for the reconstruction of contractures.
Methods: In a 1-year period, 23 patients underwent contracture release using a diamond flap. The elongation of the distance between two reference points on the contracture line was measured.
Results: A total of 23 contractures due to burn scars were released via a diamond flap in 23 patients. No flap loss was seen. Patients were followed up for an average of 18 months, and no recurrence of contractures was seen. Elongation of the contracture lines was measured as the distance between two reference points preoperatively marked. We observed 60%–200% elongation of the contracture line during early postoperative measurement and 30%–125% elongation during late postoperative measurement depending on the anatomical site and original length of the contracture.
Conclusion: Diamond flap should be kept in mind as an alternative for contracture release, especially in cases of wide, long, multiple adjacent contractures located in poorly vascularized areas.

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