Fig. 3
From: A review and critical appraisal of central axis flaps in axillary and elbow contractures
a A 32-year-old female with a post-burn, type II, left axillary contracture. The axillary dome is spared but surrounding skin is severely scarred. b A quadrilobed flap is raised in the axillary fossa, based on a subcutaneous pedicle. c The flap is propelled by 90° to straddle the anterior and posterior axillary contracting bands. The donor area is split skin grafted. d An excellent functional and esthetic result at 30 months follow-up. The axillary hairs are well preserved and the flap skin has fully stretched. (Reprinted with the permission from Wolters Kluwer Medknow Publications license no. 4074290918181 [24])