A simple and effective procedure for treating burn contractures: Releasing incision and quadra Z technique

Utilidad clínica de la zetaplastia de cuatro colgajos en secuelas de quemadura

“…Al igual que otros autores, hemos observado que efectivamente se pueden levantar colgajos aun en zonas de quemadura o en zonas injertadas, logrando muy buenos resultados, tal como se reporta en la literatura. 10,13,14 Se ha publicado recientemente otras técnicas de zetaplastias modificadas, como la zetaplastia de siete colgajos, con una mayor ganancia de elongación tisular. 15 La principal desventaja tal vez en este tipo de cirugías es que, en ocasiones, puede haber necrosis en el vértice de los colgajos, aunque sea parcial y ofrece poca liberación en los casos de bridas interdigitales, para los que la primera opción se pudiera realizar colgajos trapezoidales.…”

Postburn Knee Flexions Contractures: Anatomy and Methods of Their Treatment

“…There no anatomical classification; nest names are used: web, straight linear, wide, linear, wide and quadratic, wide linear; long. Ogawa and Pribaz [33] classified knee contracture into 5 forms: linear (anterior, posterior, tibial or peroneal); broadband (the same subdivision as previous form); broadband contractures extended to neighboring surfaces; broadband contractures of entire circumferences; others [1][2][3][4][5][16][17][18][30][31][32][33].…”

“…Incisional contracture release and wound resurfacing with skin grafts [6]; incision with progressive stretch load [7], quadra Z technique [3]. MacCauley and Asuku [6] write that incisional or excisional release and skin grafting is frequently the first line of therapy with excellent long-term results.…”

“…There is no existing anatomical classification of flexion contractures that could serve as a guide, for reconstructive technique choice, which presents a clinical challenge [2]. Many surgical techniques have been described; however, an ideal method is yet to be found [3]. The most common treatment methods are based on the incisional contracture release and skin grafting or on the local triangular flap techniques [4].…”

Methods and Tools Used for the Measurement of Burn Scar Contracture

“…4 Many studies have investigated nonsurgical methods to prevent burn scar contractures, 10 -12 and many others have addressed surgical methods to correct established contractures. [13][14][15][16][17][18] However, no studies have investigated the methods that are used to measure burn scar contracture. Reliable measurement techniques are integral to understanding, interpreting, and comparing information about scar contracture, both within the burn unit and the burn literature.…”