Different Surgical Treatment of Post-Burn Contracture of Foot and Ankle Joint

Shakirov Babur

doi:doi:10.11648/j.js.20130102.16

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Different Surgical Treatment of Post-Burn Contracture of Foot and Ankle Joint

Shakirov Babur

Published in Journal of Surgery (Volume 1, Issue 2)

Received: 14 May 2013 Published: 30 June 2013

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Abstract

The foot and ankle scar post burn contractures are the result of deep partial and full-thickness burns that affect foot motion, impair the lower extremity function and benefit from surgical reconstruction. 76 patients (ages 2-46) with post burn foot and ankle joint contractures were treated at the Inter-regional Burn Center and burn department of RCSUMA Samarkand, Uzbekistan. The operations must be performed within 6-12 months after healing of burn wounds to prevent secondary changes. In the case when contracture is severe, the operation must be performed as soon as possible. The method of operation should be chosen according to both severity and localization of the injury, using local uninjured tissues and soft scars to make trapezoid, Z-form, triangular, free and other grafts placed on the area of the excised scars Results in 71, 05% of all cases the contracture of the foot-ankle joint was completely eliminated and the conditions necessary for the rehabilitation of the injured ankle were ensured. There was improvement after burn treatment or secondary changes due to inflammatory processes and foot inactivity due to its wrong position; in 3,95% there was not improvement. Negative results were due to deep tissue defect, irreversible changes in the bone- joints, late recourse to medical aid, and post operative effect. We did not observe any ulceration of skin grafts.

Published in	Journal of Surgery (Volume 1, Issue 2)
DOI	10.11648/j.js.20130102.16
Page(s)	32-36
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2013. Published by Science Publishing Group

Keywords

Post Burn Foot, Ankle Contracture and Surgical Treatment

References

[1]	Mikhailov I.A., Popov S.V. Surgical Treatment of the Results of Foot Burns. Paper presented at the International Conference «Intensive Treatment of Severe Burn Patients», Moscow, 1992, 284-286.
[2]	Yudenich A.A., Mikhailov I.A., Sarigin P.V. The Surgical Treatment of Post-Burn Scar Deformities of Foot-ankle Joint and Foot. Materials of International Conference «The Actual Problems of Thermic Injury, dedicated to 70th anniversary of S.R.I.», Saint-Petersburg 2002, 461-462.
[3]	Mirazimov B.M., Tursunov B.S., Grishkevitch V.M. Post-burn Deformities of Extremities in Children. Tashkent: Ibn Sino Publishing House, 1991, 342.
[4]	Sakirov B.M. Plastic operation with post burn contractures and deformities of foot and ankle joint. Abstract book. The 14th congress of the International Society for burn Injuries, Canada, 2008; -97.
[5]	Shakirov B.M. Sandal Burns and their Treatment in Children. J. Burn Care Rehabilitation. 2004; 25; 501-505.
[6]	Shuchanek I., Rihova H., Kaloudova Y., Mager R. Reconstructive Surgeries after Extensive Burns in Children. Acta. Chir. Plast 2004; 45: 139-143.
[7]	Schneider J.C. et al. Contractures in burn injury: defining the problems // Burn Care Res. 2006; 27: 508–514.
[8]	Mustal T.A. Scars and Keloids. BMJ, 2004; 328:1329-1330Amarante J., Costa H., Keis J. et al. New distally based fascioculaneous flap of the Ieg // Bril. J. Plast. Surg. – 1986–Vol. 39, № 3. 338–340.
[9]	Shakirov B.M. Evaluation of different surgical techniques used for correction of post-burn contracture of foot and ankle. J. Annals of Burns and Fire Disasters 2010; 3: 137-143.
[10]	Steinwender G., Saraph V., Zwick E.B., Uitz C, Linhart W. Complex Foot Deformities Associated with Soft-tissue Scarring in Children. J. Foot- Ankle Surg. 2001; 40: 42-49.
[11]	Guild S. A new splinting approach for dorsal foot burns. J Burn Care Rehabil. 2001; 22:454-456.
[12]	Shakirov B.M., Tursunov B.S., Tagaev K.R. Problems of Rehabilitation of Post-Burn Reconvalecence. J. Allergology and Immunology, Moscow, March 2004, №1, 176.
[13]	Leung R.S., Cheng J.S. Burn Contractures of the Foot. J. Foot Ankle 1986; 6: 289-294.
[14]	Erdogan B., Gorgu M., Girgin O., Akoz T., Deren O. Application of external fixators in major foot contractures. J Foot Ankle Surg. 1996; 35:218-221.

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APA Style

Shakirov Babur. (2013). Different Surgical Treatment of Post-Burn Contracture of Foot and Ankle Joint. Journal of Surgery, 1(2), 32-36. https://doi.org/10.11648/j.js.20130102.16

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ACS Style

Shakirov Babur. Different Surgical Treatment of Post-Burn Contracture of Foot and Ankle Joint. J. Surg. 2013, 1(2), 32-36. doi: 10.11648/j.js.20130102.16

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AMA Style

Shakirov Babur. Different Surgical Treatment of Post-Burn Contracture of Foot and Ankle Joint. J Surg. 2013;1(2):32-36. doi: 10.11648/j.js.20130102.16

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@article{10.11648/j.js.20130102.16,
  author = {Shakirov Babur},
  title = {Different Surgical Treatment of Post-Burn Contracture of Foot and Ankle Joint},
  journal = {Journal of Surgery},
  volume = {1},
  number = {2},
  pages = {32-36},
  doi = {10.11648/j.js.20130102.16},
  url = {https://doi.org/10.11648/j.js.20130102.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20130102.16},
  abstract = {The foot and ankle scar post burn contractures are the result of deep partial and full-thickness burns that affect foot motion, impair the lower extremity function and benefit from surgical reconstruction. 76 patients (ages 2-46) with post burn foot and ankle joint contractures were treated at the Inter-regional Burn Center and burn department of RCSUMA Samarkand, Uzbekistan. The operations must be performed within 6-12 months after healing of burn wounds to prevent secondary changes. In the case when contracture is severe, the operation must be performed as soon as possible. The method of operation should be chosen according to both severity and localization of the injury, using local uninjured tissues and soft scars to make trapezoid, Z-form, triangular, free and other grafts placed on the area of the excised scars Results in 71, 05% of all cases the contracture of the foot-ankle joint was completely eliminated and the conditions necessary for the rehabilitation of the injured ankle were ensured. There was improvement after burn treatment or secondary changes due to inflammatory processes and foot inactivity due to its wrong position; in 3,95% there was not improvement. Negative results were due to deep tissue defect, irreversible changes in the bone- joints, late recourse to medical aid, and post operative effect. We did not observe any ulceration of skin grafts.},
 year = {2013}
}

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TY  - JOUR
T1  - Different Surgical Treatment of Post-Burn Contracture of Foot and Ankle Joint
AU  - Shakirov Babur
Y1  - 2013/06/30
PY  - 2013
N1  - https://doi.org/10.11648/j.js.20130102.16
DO  - 10.11648/j.js.20130102.16
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 32
EP  - 36
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20130102.16
AB  - The foot and ankle scar post burn contractures are the result of deep partial and full-thickness burns that affect foot motion, impair the lower extremity function and benefit from surgical reconstruction. 76 patients (ages 2-46) with post burn foot and ankle joint contractures were treated at the Inter-regional Burn Center and burn department of RCSUMA Samarkand, Uzbekistan. The operations must be performed within 6-12 months after healing of burn wounds to prevent secondary changes. In the case when contracture is severe, the operation must be performed as soon as possible. The method of operation should be chosen according to both severity and localization of the injury, using local uninjured tissues and soft scars to make trapezoid, Z-form, triangular, free and other grafts placed on the area of the excised scars Results in 71, 05% of all cases the contracture of the foot-ankle joint was completely eliminated and the conditions necessary for the rehabilitation of the injured ankle were ensured. There was improvement after burn treatment or secondary changes due to inflammatory processes and foot inactivity due to its wrong position; in 3,95% there was not improvement. Negative results were due to deep tissue defect, irreversible changes in the bone- joints, late recourse to medical aid, and post operative effect. We did not observe any ulceration of skin grafts.
VL  - 1
IS  - 2
ER  -

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Author Information

Shakirov Babur

Samarkand State Medical Institute, Burn department of RSCUMA and Inter-Regional Burn Center, Samarkand, Uzbekistan

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APA Style

Shakirov Babur. (2013). Different Surgical Treatment of Post-Burn Contracture of Foot and Ankle Joint. Journal of Surgery, 1(2), 32-36. https://doi.org/10.11648/j.js.20130102.16

Copy | Download

ACS Style

Shakirov Babur. Different Surgical Treatment of Post-Burn Contracture of Foot and Ankle Joint. J. Surg. 2013, 1(2), 32-36. doi: 10.11648/j.js.20130102.16

Copy | Download

AMA Style

Shakirov Babur. Different Surgical Treatment of Post-Burn Contracture of Foot and Ankle Joint. J Surg. 2013;1(2):32-36. doi: 10.11648/j.js.20130102.16

Copy | Download

@article{10.11648/j.js.20130102.16,
  author = {Shakirov Babur},
  title = {Different Surgical Treatment of Post-Burn Contracture of Foot and Ankle Joint},
  journal = {Journal of Surgery},
  volume = {1},
  number = {2},
  pages = {32-36},
  doi = {10.11648/j.js.20130102.16},
  url = {https://doi.org/10.11648/j.js.20130102.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20130102.16},
  abstract = {The foot and ankle scar post burn contractures are the result of deep partial and full-thickness burns that affect foot motion, impair the lower extremity function and benefit from surgical reconstruction. 76 patients (ages 2-46) with post burn foot and ankle joint contractures were treated at the Inter-regional Burn Center and burn department of RCSUMA Samarkand, Uzbekistan. The operations must be performed within 6-12 months after healing of burn wounds to prevent secondary changes. In the case when contracture is severe, the operation must be performed as soon as possible. The method of operation should be chosen according to both severity and localization of the injury, using local uninjured tissues and soft scars to make trapezoid, Z-form, triangular, free and other grafts placed on the area of the excised scars Results in 71, 05% of all cases the contracture of the foot-ankle joint was completely eliminated and the conditions necessary for the rehabilitation of the injured ankle were ensured. There was improvement after burn treatment or secondary changes due to inflammatory processes and foot inactivity due to its wrong position; in 3,95% there was not improvement. Negative results were due to deep tissue defect, irreversible changes in the bone- joints, late recourse to medical aid, and post operative effect. We did not observe any ulceration of skin grafts.},
 year = {2013}
}

Copy | Download

TY  - JOUR
T1  - Different Surgical Treatment of Post-Burn Contracture of Foot and Ankle Joint
AU  - Shakirov Babur
Y1  - 2013/06/30
PY  - 2013
N1  - https://doi.org/10.11648/j.js.20130102.16
DO  - 10.11648/j.js.20130102.16
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 32
EP  - 36
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20130102.16
AB  - The foot and ankle scar post burn contractures are the result of deep partial and full-thickness burns that affect foot motion, impair the lower extremity function and benefit from surgical reconstruction. 76 patients (ages 2-46) with post burn foot and ankle joint contractures were treated at the Inter-regional Burn Center and burn department of RCSUMA Samarkand, Uzbekistan. The operations must be performed within 6-12 months after healing of burn wounds to prevent secondary changes. In the case when contracture is severe, the operation must be performed as soon as possible. The method of operation should be chosen according to both severity and localization of the injury, using local uninjured tissues and soft scars to make trapezoid, Z-form, triangular, free and other grafts placed on the area of the excised scars Results in 71, 05% of all cases the contracture of the foot-ankle joint was completely eliminated and the conditions necessary for the rehabilitation of the injured ankle were ensured. There was improvement after burn treatment or secondary changes due to inflammatory processes and foot inactivity due to its wrong position; in 3,95% there was not improvement. Negative results were due to deep tissue defect, irreversible changes in the bone- joints, late recourse to medical aid, and post operative effect. We did not observe any ulceration of skin grafts.
VL  - 1
IS  - 2
ER  -

Copy | Download