PMC9912177_01
(A) Pre-operative image (posterior); and (B) pre-operative image (anterior).
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fig1
We discuss an unusual release sequence in a 3-year-old female child with a history of scald burns 9 months back, coming with post-burn contracture of the left axilla, elbow, wrist, and dorsum of the hand (Fig. 1).
After stage 1 (release of wrist contracture and cover with right lateral intercostal artery perforator flap).
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She underwent contracture release on the dorsum of the left hand with soft tissue cover with right lateral intercostal artery perforator flap based on 6th and 7th intercostal perforators (Fig. 2).
After stage 2 (flap division and release of axillary and elbow contractures).
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fig3
In the second stage, she underwent flap division and axillary and elbow contracture release with a local flap and split skin graft 3 weeks later (Fig. 3).