A review and critical appraisal of central axis flaps in axillary and elbow contractures

Author:

Karki Durga1,Ahuja Rajeev B.2

Affiliation:

1. Department of Burns, Plastic and Maxillofacial Surgery VM Medical College and Safdarjung Hospital 110029 New Delhi, India

2. Department of Burns and Plastic Surgery Lok Nayak Hospital and associated Maulana Azad Medical College 110 002 New Delhi, India

Abstract

Abstract Contractures of the axilla and elbow can produce a significant impact on quality of life by reducing the ability to perform activities of daily living. Varieties of techniques are available for resurfacing defects following contracture release but graft or flap loss, donor-site morbidity, esthetics, and recurrences are still challenges for reconstructive surgeons. Central axis “propeller” flaps based on a random, subcutaneous pedicle were first described for axillary and elbow contractures to deploy the unburnt skin of axillary dome in type I and II contractures (Kurtzman and Stern) by moving them 90° to straddle the contracting bands. This strategy provided better esthetics and avoided prolonged splinting. Over more than two decades, there have been several design modifications of these flaps with extended applications to cubital fossa. A comprehensive review of published literature on the topic is presented to discuss classifications, design modifications, and applications of such flaps in managing axillary and elbow contractures.

Publisher

Oxford University Press (OUP)

Subject

Critical Care and Intensive Care Medicine,Dermatology,Biomedical Engineering,Emergency Medicine,Immunology and Allergy,Surgery

Reference41 articles.

1. Management of contractural deformities involving the shoulder (axilla), elbow, hip and knee joints in burned patients;Huang,2012

2. A simplified algorithm for the use of Z-plasty;Rohrich;Plast Reconstr Surg,1999

3. The basic Z-plasty;Salam;Am Fam Physician,2003

4. The multiple Y-V plasty in linear burn scar contracture release;Cooper;Br J Plast Surg,1990

5. The use of the square flap method for repair of axillary burn contracture;Hyakusoku;Plast Reconstr Surg,1985

Cited by 2 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Our Definition of Propeller Flaps and Their Classification;Seminars in Plastic Surgery;2020-08

2. “Namaste Flap”;Annals of Plastic Surgery;2019-10-29

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