Lateral Truncal Medial Contractures: Anatomy and Treatment with Local Adipose Scar Trapezoid Flaps

  • Viktor M. Grishkevich
  • Max Grishkevich


Trunk burns result in various complications, deformities, and contractures. Contracture of the lateral surface of the trunk is one of the serious complications that limit movements of the spine; in children, scoliosis can develop. Therefore, the lateral truncal contracture should be the subject of early surgical treatment. The method currently used is stage-by-stage incisions on the contracture scars and skin grafting or Z-plasty. Skin grafts tend to shrink. Triangular flaps are too short for complete contracture elimination. The need for development of a more effective surgical technique is apparent. Lateral truncal contracture is caused by scars located on the truncal lateral surface, which form a crescent fold. The fold’s sheets have a trapezoid-shaped surface deficit in length, which causes the contracture and creates the scar surface surplus in width, which allows contracture elimination with local trapezoid flaps and leads to good outcomes.


Burns of trunk Truncal scar contractures Lateral truncal contractures Medial contracture Truncal contracture treatment Trapeze-flap plasty 


  1. 1.
    Grishkevich VM. Trapezoid adipose scar local flap: postburn lateral truncal contracture elimination with trapeze-flap plasty. J Burn Care Res. 2010;31:949–54.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Viktor M. Grishkevich
    • 1
  • Max Grishkevich
    • 2
  1. 1.Happy ValleyUSA
  2. 2.VIP MediSpaClackamasUSA

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