Linear scars are a common problem in the plastic surgery
practice. Release is the first step in surgical treatment. Skin
grafts, Z-plasty, local, regional or free flaps are used to
lengthen the scar. In this article, we will use running y-v flaps
for scar lengthening. From January 2016 to April 2017, 20
linear burn contractures of 15 patients were corrected using
multiple Opposing Y-V plasty. Patients were followed-up for
a period of 6 months at least. All scar contractures were
corrected successfully in all cases. One partial flap necrosis
was observed and managed successfully with dressing changes.
During the follow up period, only one case showed recurrence
of contracture and required release and local advancement
flap. linear scar contracture treatment modalities vary largely.
Options for reconstruction include skin grafts, Z plasty and
Y-V flaps. Skin grafts carry the risks of recurrence of contractures.
Z plasty should include flap undermining before flap < br />transposition which carries the risks of flap necrosis especially
in burned skin. Multiple Y-V flaps carry the advantages of
low rate of scar recurrence and secondary contractures and
have the merits of being a safe technique with low incidence
of flap necrosis. Running Opposing Y-V-plasty is an option
for correction of linear cord-like burn scar contractures. It
has the advantages of being a safe and effective method with
law morbidity.