Comparing Z-plasty versus Z-plasty and skin grafting for surgical tension free treatment of post-burn elbow contractures

Comparing Z-plasty versus Z-plasty and skin grafting for surgical tension free treatment of post-burn elbow contractures: A randomized clinical trial

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

IRCT

Registry ID

IRCT201611235560N1

Enrollment

Registered

2017-01-03

Start date

2013-02-19

Completion date

Unknown

Last updated

2018-02-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Elbow contracture. Burn of unspecified degree of shoulder and upper limb, except wrist and hand

Interventions

Intervention 1: The investigation group will be treated with Z-plasty and skin graft. Intervention 2: The control group will be treated with Z-plasty without skin graft.

Treatment - Surgery

The investigation group will be treated with Z-plasty and skin graft.

The control group will be treated with Z-plasty without skin graft.

Eligibility

Sex/Gender

All

Age

18 Years to 60 Years

Inclusion criteria

Inclusion criteria: Inclusion criteria: Having un-circumferential scar (circumferential until 75%); 15 to 60 degrees flexion and extension restriction in elbow joint; no joint ossification. Exclusion criteria: having comorbid diseases; joint ossification; wound infection; underlying medical illnesses such as diabetes, uremia, hypertension, cardiovascular diseases, chronic arterial obstruction, immunodeficiency conditions and kidney failure; being younger than 15 or older than 60 years old; taking non-steroidal anti-inflammatory drugs; high dosage of corticosteroids or chemotherapy agents.

Exclusion criteria

Exclusion criteria:

Design outcomes

Primary

Measure	Time frame
Contracture details. Timepoint: 2nd, 4th, 8th, 12th, 24th weeks after the surgery. Method of measurement: Examination.;Necrosis. Timepoint: 2nd, 4th, 8th, 12th, 24th weeks after the surgery. Method of measurement: Examination.;New scar. Timepoint: 2nd, 4th, 8th, 12th, 24th weeks after the surgery. Method of measurement: Examination.;Motion range of the joint. Timepoint: 2nd, 4th, 8th, 12th, 24th weeks after the surgery. Method of measurement: Examination.;Infection. Timepoint: 2nd, 4th, 8th, 12th, 24th weeks after the surgery. Method of measurement: Examination.;Wound healing time. Timepoint: 2nd, 4th, 8th, 12th, 24th weeks after the surgery. Method of measurement: Examination.;Scar depth. Timepoint: 2nd, 4th, 8th, 12th, 24th weeks after the surgery. Method of measurement: Examination.	—

Measure

Time frame

Contracture details. Timepoint: 2nd, 4th, 8th, 12th, 24th weeks after the surgery. Method of measurement: Examination.;Necrosis. Timepoint: 2nd, 4th, 8th, 12th, 24th weeks after the surgery. Method of measurement: Examination.;New scar. Timepoint: 2nd, 4th, 8th, 12th, 24th weeks after the surgery. Method of measurement: Examination.;Motion range of the joint. Timepoint: 2nd, 4th, 8th, 12th, 24th weeks after the surgery. Method of measurement: Examination.;Infection. Timepoint: 2nd, 4th, 8th, 12th, 24th weeks after the surgery. Method of measurement: Examination.;Wound healing time. Timepoint: 2nd, 4th, 8th, 12th, 24th weeks after the surgery. Method of measurement: Examination.;Scar depth. Timepoint: 2nd, 4th, 8th, 12th, 24th weeks after the surgery. Method of measurement: Examination.

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Countries

Iran (Islamic Republic of)

Contacts

Public ContactSeyed Nejat Hosseini

Zanjan University of Medical Sciences

nejat.hosini@zums.ac.ir00

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026