F Nd K H, Eroglu Ciloglu N S, Uzunismail A
Haydarpasa Numune Teaching and Research Hospital, Istanbul, Turkey.
Ann Burns Fire Disasters. 2007 Mar 31;20(1):35-9.
Rhomboid release has been utilized in the reconstruction of flexion contractures. In this study a new refinement of the rhomboid subcutaneous flap with a combination of adjacent four-flap Z-plasties on both sides is presented. Satisfying functional results were obtained, keeping the rhomboid flap and the structures on the rhomboid flap in their original position. The new design of the previous rhomboid release - the "rhomboid flap and adjacent four-flap Z-plasties" - makes it possible to preserve important anatomical landmarks, such as hairy skin in the axilla, the nipple/areola complex, and the pubic area in the contracture, and is considered a good method of releasing burn or congenital contractures.
菱形肌松解术已被用于屈曲挛缩的重建。在本研究中，提出了一种新的改良菱形皮下皮瓣，两侧联合相邻的四瓣Z成形术。获得了满意的功能结果，同时保持了菱形皮瓣及其上结构的原位。先前菱形肌松解术的新设计——“菱形皮瓣和相邻四瓣Z成形术”——能够保留重要的解剖标志，如腋窝处的有毛皮肤、乳头/乳晕复合体以及挛缩部位的耻骨区域，被认为是一种松解烧伤或先天性挛缩的良好方法。
