Archives of Plastic Surgery

  • 제48권6호
  • /
  • Pages.678-684
  • /
  • 2021
  • /
  • 2234-6163(pISSN)
  • /
  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
권호 표지
DOI QR코드

DOI QR Code

Outcomes of grafted skin on the dorsum of the foot after car-tire friction injuries

  • Kim, Shin Hyun (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine) ;
  • Lee, Won Jai (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine)
  • 투고 : 2021.05.21
  • 심사 : 2021.08.10
  • 발행 : 2021.11.15
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background A car-tire friction injury on the dorsum of a child's foot often results in hypertrophic scarring of the wound margins. This study describes the clinical appearance of the injured areas and surgical complications that occurred during the follow-up period in a series of children with car-tire friction injuries who were treated with split-thickness skin grafts (STSGs). We describe the clinical features that we believe need to be highlighted when initially treating car-tire injuries in children. Methods From May 2003 to June 2016, our retrospective study included 15 patients with car-tire injuries on the dorsum of the foot who were treated with surgical excision and STSG to cover the wound. Results A total of 15 patients with car-tire injuries were treated. The average age was 6.26 years old. The average injury grade was 3.26. Two patients were treated using delayed repair, and 13 patients received STSG for initial management. Four patients experienced no complications, while 11 patients had hypertrophic scars and/or scar contracture after surgery. Conclusions A car-tire friction injury on the dorsum of a child's foot often results in hypertrophic scar formation or scar contracture even if proper management is undertaken. Since the occurrence of these complications in childhood can lead to a secondary deformity, it is important to properly treat car-tire friction wounds, inform patients and caregivers about potential complications, and ensure regular follow-up evaluations over a 12-month period following the initial surgery.

키워드

참고문헌

  1. Al-Qattan MM. Car-tyre friction injuries of the foot in children. Burns 2000;26:399-408. https://doi.org/10.1016/S0305-4179(99)00130-8
  2. Nuzumlali E, Gurbuz C, Kantarci U, et al. Moving car-tire injuries of the foot: reconstruction with microvascular free flaps. J Reconstr Microsurg 1996;12:297-302. https://doi.org/10.1055/s-2007-1006489
  3. Abd Al Moktader MA. Hinged multiperforator-based extended dorsalis pedis adipofascial flap for dorsal foot defects. Arch Plast Surg 2020;47:340-6. https://doi.org/10.5999/aps.2019.01039
  4. Beurskens CH, van Uden CJ, Strobbe LJ, et al. The efficacy of physiotherapy upon shoulder function following axillary dissection in breast cancer, a randomized controlled study. BMC Cancer 2007;7:166. https://doi.org/10.1186/1471-2407-7-166
  5. Lee SH, An SJ, Kim NR, et al. Reconstruction of postburn contracture of the forefoot using the anterolateral thigh flap. Clin Orthop Surg 2016;8:444-51. https://doi.org/10.4055/cios.2016.8.4.444
  6. Shin JU, Park J, Lee JH, et al. Extramarginal excision is preferable for hypertrophic scars. Int J Dermatol 2014;53:1138-44. https://doi.org/10.1111/ijd.12481
  7. Suliman MT, Aizaz S. Car tire injuries: a review of 35 patients. Ann Saudi Med 2008;28:200-2. https://doi.org/10.4103/0256-4947.51722
  8. Lee SW, Nam SK, Kim H. Friction burn on foot caused by car-tire. J Korean Burn Soc 2010;13:21-5.
  9. Merter A, Armangil M, Kaya B, et al. Immediate emergency free anterolateral thigh flap after car-tyre friction injury: a case report with eight years follow-up. Int J Surg Case Rep 2017;38:102-6. https://doi.org/10.1016/j.ijscr.2017.06.066
  10. Finnerty CC, Jeschke MG, Branski LK, et al. Hypertrophic scarring: the greatest unmet challenge after burn injury. Lancet 2016;388:1427-36. https://doi.org/10.1016/S0140-6736(16)31406-4
  11. Jackson DM. The diagnosis of the depth of burning. Br J Surg 1953;40:588-96. https://doi.org/10.1002/bjs.18004016413
  12. Barret JP, Herndon DN. Effects of burn wound excision on bacterial colonization and invasion. Plast Reconstr Surg 2003;111:744-50. https://doi.org/10.1097/01.PRS.0000041445.76730.23
  13. Kucan JO, Bash D. Reconstruction of the burned foot. Clin Plast Surg 1992;19:705-19. https://doi.org/10.1016/s0094-1298(20)30955-x
  14. Ong YS, Samuel M, Song C. Meta-analysis of early excision of burns. Burns 2006;32:145-50. https://doi.org/10.1016/j.burns.2005.09.005
  15. Billingham RE, Medawar PB. Contracture and intussusceptive growth in the healing of extensive wounds in mammalian skin. J Anat 1955;89:114-23.
  16. McDonald WS, Deitch EA. Hypertrophic skin grafts in burned patients: a prospective analysis of variables. J Trauma 1987;27:147-50. https://doi.org/10.1097/00005373-198702000-00008
  17. Puttirutvong P. Meshed skin graft versus split thickness skin graft in diabetic ulcer coverage. J Med Assoc Thai 2004;87:66-72.
  18. Wolfram D, Tzankov A, Pulzl P, et al. Hypertrophic scars and keloids: a review of their pathophysiology, risk factors, and therapeutic management. Dermatol Surg 2009;35:171-81. https://doi.org/10.1111/j.1524-4725.2008.34406.x
  19. Chiang RS, Borovikova AA, King K, et al. Current concepts related to hypertrophic scarring in burn injuries. Wound Repair Regen 2016;24:466-77. https://doi.org/10.1111/wrr.12432
  20. El-Gammal TA, El-Sayed A, Kotb MM, et al. Dorsal foot resurfacing using free anterolateral thigh (ALT) flap in children. Microsurgery 2013;33:259-64. https://doi.org/10.1002/micr.22074
  21. Oliveira GV, Hawkins HK, Chinkes D, et al. Hypertrophic versus non hypertrophic scars compared by immunohistochemistry and laser confocal microscopy: type I and III collagens. Int Wound J 2009;6:445-52. https://doi.org/10.1111/j.1742-481X.2009.00638.x
  22. Davies DM. Plastic and reconstructive surgery. Scars, hypertrophic scars, and keloids. Br Med J (Clin Res Ed) 1985;290:1056-8. https://doi.org/10.1136/bmj.290.6474.1056
  23. Deitch EA, Wheelahan TM, Rose MP, et al. Hypertrophic burn scars: analysis of variables. J Trauma 1983;23:895-8. https://doi.org/10.1097/00005373-198310000-00009
  24. Rudolph R. Contraction and the control of contraction. World J Surg 1980;4:279-87. https://doi.org/10.1007/BF02393383
  25. Wallace HJ, Fear MW, Crowe MM, et al. Identification of factors predicting scar outcome after burn injury in children: a prospective case-control study. Burns Trauma 2017;5:19.