Fig. 7
From: A review and critical appraisal of central axis flaps in axillary and elbow contractures
A zig-zag modified propeller flap for type II left axillary contracture in a 29-year-old patient with severe scarring of the anterior chest wall. a Preoperative view of with 45° shoulder abduction. b A flap marked for central axis pedicle with zig-zag incisions. c Release of the axillary contracture and the flap dissected and elevated. d The flap has been rotated by 90° to straddle the anterior and posterior contracting bands. e Part of the donor area being sutured primarily and the rest covered with a split skin graft. f At 3 years follow-up, the patient is showing full shoulder abduction and an excellent esthetic result. a, b, e and f were reprinted with permission from Indian J Plast Surg., 2016 [25]