The Running Y-V Plasty for Treatment of Linear and Cord-Like Burn Contractures

Linear and cord-like burn scar contractures are commonly treated by severing the scar in a transverse direction and skin grafting or performing Z-plasties. However, skin grafts may result in suboptimal take and contract gradually and the Z-plasty requires undermining flaps in scarred skin which may...

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Main Authors: Masoud Yavari, Ehsan Arasteh
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2012-11-01
Series:Acta Medica Iranica
Subjects:
Online Access:http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/22818.pdf&manuscript_id=22818
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author Masoud Yavari
Ehsan Arasteh
author_facet Masoud Yavari
Ehsan Arasteh
author_sort Masoud Yavari
collection DOAJ
description Linear and cord-like burn scar contractures are commonly treated by severing the scar in a transverse direction and skin grafting or performing Z-plasties. However, skin grafts may result in suboptimal take and contract gradually and the Z-plasty requires undermining flaps in scarred skin which may lead to the distal tip necrosis. In this article the authors present their experience with multiple Y-V plasty technique. From May 2005 to September 2009, 44 linear and narrow cord-like burn contractures in various regions of upper and lower extremities of 32 patients were treated by multiple Y-V plasty technique. The contracted scars were treated successfully in all of the patients. No major post-operative complications or contracture recurrence were observed during the follow up period of 6 to 24 months in this series of patients. By creating a longer length, running Y-V plasty can relax the contracted scar. Considering the advantages and excellent results in the treated patients in this study group, and also other presented series, multiple Y-V plasty can be recommended as a very useful and safe technique for the treatment of linear and cordlike burn contractures.
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spelling doaj.art-f83f3d59c8ce43b7a7436f80053abb232022-12-22T01:15:36ZengTehran University of Medical SciencesActa Medica Iranica0044-60250173-59692012-11-015011729734The Running Y-V Plasty for Treatment of Linear and Cord-Like Burn ContracturesMasoud YavariEhsan ArastehLinear and cord-like burn scar contractures are commonly treated by severing the scar in a transverse direction and skin grafting or performing Z-plasties. However, skin grafts may result in suboptimal take and contract gradually and the Z-plasty requires undermining flaps in scarred skin which may lead to the distal tip necrosis. In this article the authors present their experience with multiple Y-V plasty technique. From May 2005 to September 2009, 44 linear and narrow cord-like burn contractures in various regions of upper and lower extremities of 32 patients were treated by multiple Y-V plasty technique. The contracted scars were treated successfully in all of the patients. No major post-operative complications or contracture recurrence were observed during the follow up period of 6 to 24 months in this series of patients. By creating a longer length, running Y-V plasty can relax the contracted scar. Considering the advantages and excellent results in the treated patients in this study group, and also other presented series, multiple Y-V plasty can be recommended as a very useful and safe technique for the treatment of linear and cordlike burn contractures.http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/22818.pdf&manuscript_id=22818Cord Like Burn ScarScar ContractionY-V Plasty
spellingShingle Masoud Yavari
Ehsan Arasteh
The Running Y-V Plasty for Treatment of Linear and Cord-Like Burn Contractures
Acta Medica Iranica
Cord Like Burn Scar
Scar Contraction
Y-V Plasty
title The Running Y-V Plasty for Treatment of Linear and Cord-Like Burn Contractures
title_full The Running Y-V Plasty for Treatment of Linear and Cord-Like Burn Contractures
title_fullStr The Running Y-V Plasty for Treatment of Linear and Cord-Like Burn Contractures
title_full_unstemmed The Running Y-V Plasty for Treatment of Linear and Cord-Like Burn Contractures
title_short The Running Y-V Plasty for Treatment of Linear and Cord-Like Burn Contractures
title_sort running y v plasty for treatment of linear and cord like burn contractures
topic Cord Like Burn Scar
Scar Contraction
Y-V Plasty
url http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/22818.pdf&manuscript_id=22818
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