Postburn Flexion Contractures of Fingers: Anatomy and Treatment with Trapeze-Flap Plasty
Scar flexion medial contractures of the fingers are a significant complication of burn injuries of the hand, and a frequent cause of patients’ disability. The restriction of finger motion is a direct indication for performing reconstruction. The flexion contracture of the fingers poses a challenge for surgeons. The task of surgical treatment consists of complete elimination of contraction by lengthening the flexion surface of a finger, skin resurfacing, and the restoration of the hand function without contracture recurrence. Various reconstructive techniques are used and most of them were tested by the authors. The results were unsatisfactory. Pursuing a more effective method for treating such contractures, a trapeze-flap plasty method was developed, which became the preferred reconstructive technique. This chapter describes the anatomy and contracture cause (scar surface deficit) and techniques for medial finger flexion contracture elimination based on trapezoid flaps.