In continuation with our previous article “ Reconstruction of Post-Burn Axillary Scar Contractures ”, this part discusses the next part of upper extremity reconstruction methods for Antecubital fossa, elbow, wrist, hand and digit in a burn patient. Antecubital fossa and elbow Antecubital fossa burn scars are a complicated challenge and release of the contractures results in a secondary defect that requires tissue coverage. The principles of reconstruction of burn scar deformities in the antecubital fossa and elbow are to restore normal anatomy, eliminate a flexion deformity, and restore function.
Surgical options include excision of the scar and split-thickness or full-thickness skin graft coverage, realignment of the scar flaps based on the Z-plasty principle, and resurfacing the area with local or free flaps after partial or total excision of the scar. Skin grafting is the most…
