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Professional Technical IVT

Z-plasty

Surgical technique using Z-shaped incisions to lengthen contracted scar tissue.

Full Definition

A plastic surgery technique employing Z-shaped incisions to interrupt linear scar contractures and increase tissue length in the direction of the central limb. In burn reconstruction, Z-plasty is commonly used to release contractures across joints and restore function. The procedure involves creating two triangular flaps that are transposed, effectively lengthening the tissue while redistributing tension. Multiple Z-plasties may be performed in series for extensive contractures.

Usage

Usage note: Capitalize Z and hyphenate; specific plastic surgery technique distinct from other flap procedures.

In Context

  • "Multiple Z-plasties were performed to release the axillary contracture and restore shoulder mobility." — operative report
  • "Z-plasty reconstruction of the neck contracture significantly improved range of motion." — follow-up assessment

Also known as

Z-plasty reconstruction Z-flap

Don't confuse with

W-plasty Y-V plasty

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