Release of Wide Post Burn Contracture of Joints Using Central Axis Propeller Flap

Abstract

Background: Post burn contractures of joints can produce significant impact on quality of life by interfering with the ability to perform activities of living. Varieties of techniques are available for coverage of defect following contracture release. A Central axis propeller flap a strategy that used in patient with contracture deformities. It's a reliable method of reconstruction in release of axillary, elbow and popliteal region of knee joints contractures. Aim: evaluate of central axis propeller flap in wide joints post burn contractures release. Patients and method: Between October 2017 to May 2019 ten patients with wide joints post burn contracture ,their age range between(10-45)years .A central axis (propeller)flap based on random sub dermal pedicle of two design was used (rhomboid design for eight patients and Namaste design for two patients) by designed and elevated as a “propeller,” and then rotated by 90° to straddle the defect after contracture release. Result: Good functioning result in all patients indicated by good range of motion in affected joints and no serious complication ,only one case of superficial epidermal sloughing were managed conservatively. Conclusions: Central axis propeller flaps are reliable methods for surgical management of post burn contractures with good range of motion .However it used scary tissue ,a result appearance is cosmetically acceptable for those patients ,when the functions the primary concern.