A novel perforator-based flap for reconstruction of post-burn groin contracture - MedCrave online

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Groin contracture is a common complication of burn and causes functional disability by restricting extension and abduction of hip. As the normal resting position of groin region is in flexion, these contractures are difficult to prevent. They also remain a difficult problem to treat as they recur frequently and multiple operations are often required. The goal of management of groin contracture is to provide maximum release with minimum or no local anatomic distortion. Various surgical techniques that have been used include skin grafting, Z plasties (single and multiple), fasciocutaneous and myocutaneous flaps. In this article we describe a novel perforator-based fasciocutaneous flap for the management of groin contracture and describe the anatomical basis of the flap.