Lower-extremity burn reconstruction in the child.

J Craniofac Surg

Division of Plastic and Reconstructive Surgery, Medical University of South Carolina, Charleston, South Carolina 29425, USA.

Published: July 2008

AI Article Synopsis

  • Lower-extremity burns in pediatric patients require careful management to avoid deformities and complications.
  • The reconstruction process often involves multiple surgeries, utilizing techniques like skin grafting to restore skin and prevent scar contractures.
  • The text also covers unique cases, such as burns linked with fractures and conditions in children with reduced sensation.

Article Abstract

Lower-extremity burns in a pediatric patient require special consideration. The management of burn reconstruction in pediatric patients is often complex, requiring multiple reconstructive operations, and the primary intention of the surgeon is to prevent burn scar deformities. Timely management of the burn wound and postburn scars has decreased the incidence of burn scar deformities and contractures of the lower extremity in recent years. We present an overview of the principles of reconstruction techniques using skin grafting and biologic skin substitutes to restore the important barrier lost secondary to burns. In addition, we address methods of repairing scar contracture, a common occurrence in burn patients, at specific locations on the lower extremity. Finally, special scenarios such as burns associated with fractures, burn injury in insensate children, and Marjolin ulcer are discussed.

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Source
http://dx.doi.org/10.1097/SCS.0b013e318175f35aDOI Listing

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