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Abstract Objective：To study the clinical effect of repairing serious scar contracture of axilla by applying scapular region flap. To summarize the experiences of clinical scapular region flap application， and discuss its feasibility. Method： 11 patients with 13 parts of serious scar contracture of axilla were organized scar release. All patients got repaired by transferring scapular region flap.Result：11 patients with 13 parts of serious scar contracture of axilla getting repair were totally successful. Among them，one patient’s distal subcutaneous fat of flap became fat liquefaction， and with 2 cm dehiscence，changed fresh dressing and suturing， the repaired part healed. Doctors and patients all satisfied with wood surface. Post-operation follow-up 6 monthes to 2 years， all patients wood surface looked good without edema and the axilla never happen scar contracture again. Shoulder joint work normally. Conclusion：The scapular region flap is one of the best way of repairing scar contracture of axilla，which with following advantages：scapular region flap with large area，reliable blood supply，without sacrifice main blood vessel can be easily get，and can be directly sutured and so on.
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