Multiple V-Y Advancement Flaps: A New Method for Axillary Burn Contracture Release

Elimination of postburn scar contractures with a rare form of z plasty

“…Their designs are suitable for the release of burn contractures located on the neck, axilla, cubital fossa, hand, perineum, and poplitea. [7,9,12,13] Successful outcomes and some modifications have been reported after clinical experiences; however, these techniques need many incisions and significantly more surgical dissections when compared to the ZAR flap.…”

“…In addition to simple Z-plasty, there are multiple serial, four-flap, fiveflap, six-flap, seven flap, v-y, running v-y, double-opposing and single limb Z-plasties, and other variations. [3,[5][6][7][8][9] X-plasty is a form of Z-plasty described for partial coverage of joints after the release of contractures of the fingers. This method consists of two opposing triangular flaps which partially advance the opposing 'Vs'.…”

Concepts in soft-tissue reconstruction of the contracted hand and upper extremity after burn injury

“…For more simple linear or edge contractures that have adjacent, unburned tissue, this same concept must be remembered and applied. Numerous local options have been described including z-plasty in series or parallel, v-y advancement, multiple v-y (m-plasty) ( 57 ), running y-v ( 58 ), trapeze-plasty ( 59 ), and square flap ( 60 ). Each of these involves multiple flaps in order to recruit enough tissue to restore sufficient soft tissue for full abduction.…”

Modified Z-Plasty for Reconstruction of Webbed Scar Contractures

“…Without scientific and appropriate treatment, second-degree burns of the hand often leave a scar and even result in contracture, which affects hand function and dexterity. Postburn contractures can lead to deformities [2]. Due to the lack of soft tissue near the contracture area, scar revision surgery, including release and defect repair, is a challenging problem.…”