Introduction

Despite increasing sophistication in the overall management of acute thermal injuries, contracture still occurs. Z plasties are the commonest procedures for localized linear band contractures. We intend to assess the versatility of square flap in these cases.

Subjects and Methods

Fifteen patients with localised linear band contractures over different regions underwent correction by the square flap technique. All patients were followed up for at least six months and analysed for functional and aesthetic outcome.

RESULTS

All patients achieved near full range of movement postoperatively with more importantly no recurrence during follow up period and a good aesthetic outcome.

Conclusions:

Square flap is a reliable local flap technique for localised linear or narrow band contractures even when there is significant adjacent scarring on one side of linear band.