Posterior arm flap in management of axillary contracture.

Guha, Goutam; Agarwal, Akhilesh Kr; Gupta, Souradip; Gupta, Sandipan; Murmu, Maran Buru; Chumbale, Pawan; Chattopadhyaya, Debarati · Burns · 2013

case_series · Level IV

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Abstract

Management of post burn contracture can be difficult, particularly for the axilla. Any handicap related to upper limb has a detrimental physical, psycohological, and economical effect. We have released 20 axillae in 16 patients. These patients had axillary contracture for long duration and 5 had been operated previously by release and skin graft. We used posterior arm fasciocutaneous flaps for coverage of the defect after release of contracture. All the patients had a good post op release. Their range of movement is excellent. No post op splintage was utilised in any of the cases with no incidence of recontracture.

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