The axilla is the area on the human body directly under the joint where the arm connects to the shoulder. Deep partial- and full-thickness burns of the axillary region can result in scar contractures which limit motion at the shoulder joint, especially abduction, and extension. The following article describes different methods of reconstruction of the axillary contractures. The goals of reconstructive surgery for the burn patient are first to restore function, then to restore aesthetic appearances.
Following resuscitation and stabilization, management of the burn wounds becomes the next priority. The later effects of burns, which are related to loss of normal tissue and scarring, include limitation of movement, pain, disfigurement, and social embarrassment. The reconstruction includes management of the upper and lower extremities, including the axilla and inguinal lymph node basins.…
