Reconstruction techniques for contractures from burns

Type of burn contracture	Condition of adjacent skin and tissue	Reconstruction technique options
Isolated linear	Healthy, unburned, or elastic skin and tissue at both sides of the contracture	Z-plasty - if realignment via transposition with moderate elongation needs to be achieved Y-V-plasty - if realignment via advancement of transposing flaps needs to be achieved with introduction of pliable tissue
Isolated linear	Healthy, unburned, or elastic skin and tissue at only one side of the contracture	Local fasciocutaneous transposition flap
Multiple linear	Wide contractures or no healthy adjacent skin or tissue on either side of contracture	Dermal skin substitute with split thickness skin graft Regional, distant, or free flap

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