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.
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