Both Ankles Severe Postburn Edge Dorsiflexion Contracture in Pediatric Patient: Anatomy and Treatment with Trapeze-Flap Plasty-A Case Report and Literature Review
نویسنده
چکیده
Postburn severe edge ankle dorsiflexion contractures are the result of deep burn of the lateral joint surface. The contracture affects the foot motions, impairs the lower extremity function and slows down its development in pediatric patients; scars and tissue defects cause severe deformities. Therefore, early reconstruction is needed. Review of literature shows that ankle scar contractures are the least researched among big joints contractures when it comes to surgical treatment, and little attention is given to this problem. The most common curative technique is a contracture release with contracted scar incision and skin grafting (1). Rarely distally based sural or free flaps are used (2). Severe ankle contractures are treated using Ilizarov fixator. (3). The rate of contracture recurrence is high (see Discussion). It is no clear why local tissues (scars and healthy skin) cannot be used for ankle contracture treatment.
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