Treatment of Post Burn Scar Extended Deformity of the Toes IV Degree and Using Bridge Cellular Cutaneous Flap

• 作者: Babur M. Shakirov Erkin A. Hakimov Komil R. Tagaev Sanoat H. Zohidova Ysuf M. Ahmedov
• 来源期刊: 现代整形外科(英文)
• 学科: 医学
• 关键词: Burns Foot POST Burn Dorsal FLEXION CONTRACTURE and Surgical TREATMENT
• 年，卷（期）: xdzxwkyw_2013,（3）
• 页码范围: 96-99
• 页数: 4页
• 分类号: R73

摘要

Post burn dorsal foot contractures of the toes of the IV degree cause functional limitations of all lower extremities, which creates a serious cosmetic defect, and therefore, needs surgical reconstruction. The series of 11 patients (7 men and 4 women) with extended contracture of the 4th degree of toes after burn were operated upon by using the new method with the flap including subcutaneous tissue (bridge-like stem), and the operations were performed at Samarkand Burn Center, Samarkand, Uzbekistan. We observed a good result with no complications. The flap was viable, and its sensibility was preserved. No marginal necrosis was noticed. As a result, the use of this method allowed achieving normal aesthetic outlines. The flap acquired the properties of the healthy skin without contracture. For the whole operated feet, it is important to wear pressure socks as soon as the wounds are fully healed and to continue this pressing therapy until the edema and recurrence of contracture are no longer being the problems. This usually means a period of 6 to 9 months.