Extension of flaps associated with burn scar reconstruction: A key difference between island and skin-pedicled flaps

Our extensive clinical experience with burn scar reconstruction and our studies on the mechanisms underlying burn scar development have led us to realize that achieving full release of post-burn contractures is essential for obtaining good functional and aesthetic outcomes. In particular, we have accumulated considerable evidence suggesting that common post-burn sequelae that cause contractures such as hypertrophic scars and keloids are caused by mechanical tension on the edges of the wound/scar.
Source: Burns : Journal of the International Society for Burn Injuries - Category: Cosmetic Surgery Authors: Source Type: research