British journal of plastic surgery
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Br J Plast Surg
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A trapezoid flap, which includes scarred skin in its substance, has been designed to allow correction of burn scar contractures. The method is widely applicable in many areas of the body and appears to overcome many of the shortcomings of traditional methods of scar release. ⋯ At the time of writing this technique has been used on five patients. The results are encouraging and all the patients have retained full release of their scar contractures.
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As a preliminary report we present a case of severe injury of the dominant left hand in a 19-year-old girl. Reconstruction constituted a cross-arm flap initially, a palmaris longus tendon graft and finally a cross-hand, cross-finger neurovascular flap.