Management of Post Burn Contracture of Upper Limb Using Five Flap Z Plasty - Our Experience

AIM AND OBJECTIVE: To share our experience in correction of post burn contracture of upper limb using five flap Zplasty. METHODS: 25 patients with post burn contracture involving upper limb attending out patient centre between June 2017- May 2018 were assessed for various factors like scar tissue pliability, passive joint mobility and local skin availability and taken up for five flap Z plasty. The patients were followed up regularly in the post operative period. RESULTS: Of the 25 patients, 4 patients were males and 21 patients were females. There were various level of post burn contracture present. The age group was between 12 yrs and 55 yrs. Five flap Z plasty was done in all cases. Flap tip necrosis presented in 4 cases. CONCLUSION: In our experience, the use of five flap Z plasty appears to be best choice with good functional outcome in linear burn contractures of upper limb.