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Khan MM, Cheruvu VPR, Krishna D, et al. Post-traumatic wounds over the dorsum of the foot - our experience. Int J Burns Trauma. 2020;10(4):137-145
Khan, M. M., Cheruvu, V. P. R., Krishna, D., Laitonjam, M., Minz, R., & Joshi, R. (2020). Post-traumatic wounds over the dorsum of the foot - our experience. International journal of burns and trauma, 10(4), 137-145.
Khan, Manal M, et al. "Post-traumatic wounds over the dorsum of the foot - our experience." International journal of burns and trauma vol. 10,4 (2020): 137-145.
Khan MM, Cheruvu VPR, Krishna D, Laitonjam M, Minz R, Joshi R. Post-traumatic wounds over the dorsum of the foot - our experience. Int J Burns Trauma. 2020 Aug 15;10(4):137-145. eCollection 2020. PMID: 32934868; PMCID: PMC7486566.
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Int J Burns Trauma. 2020 Aug 15;10(4):137-145. eCollection 2020.

Post-traumatic wounds over the dorsum of the foot - our experience.

International journal of burns and trauma

Manal M Khan, Ved Prakash Rao Cheruvu, Deepak Krishna, Michael Laitonjam, Reena Minz, Rishabh Joshi

Affiliations

  1. Department of Burns and Plastic Surgery, All India Institute of Medical Sciences Bhopal, India.

PMID: 32934868 PMCID: PMC7486566

Abstract

Post-traumatic wounds over the dorsum of the foot are commonly seen in our practice. Road traffic accidents, crush injuries due to the fall of heavy objects and burns are common causes of these injures. The subcutaneous tissue in this region is very thin, and the tendons and bone are frequently exposed in these wounds. Since the skin is loosely attached to the underlying tendons, ligaments, and bones, the skin of the dorsum of the foot is also vulnerable to avulsion trauma. Added to this, there is a paucity of local tissues for coverage. Hence the management of these wounds is quite challenging. Through this article, we intend to describe our experience with traumatic dorsal foot wounds. A total of 33 patients were eligible according to the inclusion criteria and their details were included in the final analysis. There were 26 (78.79%) males and 7 (21.21%) females, with a male to female ratio of 3.71:1. The age of the study patients ranged from 8 to 62 years, with a mean age and standard deviation of 34.39 and 13.566 respectively. Majority of the study patients were in the 21-30 years age group (n=10, 30.3%). Road traffic accidents were the most common cause of traumatic dorsal foot wounds (n=20, 60.61%). Majority of the wounds showed features suggestive of infection (n=22, 66.67%) at presentation. Most of the patients in our study needed surgical intervention, in addition to medical management (n=28, 84.84%). Surgical procedures performed include split-thickness skin grafts, local flaps and free flaps. Early complications occurred in 5 (15.15%) patients and late complications in 2 (6.06%) patients. In conclusion, post-traumatic wounds of the dorsum of the foot are very common and pose a difficult reconstructive challenge. Skin grafts, local tissue flaps and free flap options are available for reconstruction; selection of the appropriate option should be individualized in a given patient. Local or distant flaps should be preferred in comparison to skin grafts, because of their long term durability and lesser chances of contractures. Reconstruction must consider form, function, and aesthetics.

IJBT Copyright © 2020.

Keywords: Foot; accidents; burns; crush injuries; skin transplantation; traffic

Conflict of interest statement

None.

References

  1. Burns. 2000 Jun;26(4):399-408 - PubMed
  2. Plast Reconstr Surg. 2005 May;115(6):1618-24 - PubMed
  3. Adv Skin Wound Care. 2016 May;29(5):205-15 - PubMed
  4. J Plast Surg Hand Surg. 2017 Dec;51(6):381-386 - PubMed
  5. J Reconstr Microsurg. 2016 May;32(4):245-50 - PubMed
  6. Microsurgery. 2008;28(8):632-4 - PubMed
  7. J Ayub Med Coll Abbottabad. 2017 Jul-Sep;29(3):462-465 - PubMed
  8. Dis Model Mech. 2014 Nov;7(11):1205-13 - PubMed
  9. Ann Plast Surg. 2000 Apr;44(4):367-73; discussion 373-4 - PubMed
  10. Microsurgery. 2013 May;33(4):259-64 - PubMed
  11. Clin Podiatr Med Surg. 2002 Jan;19(1):109-23 - PubMed
  12. Plast Reconstr Surg. 2010 Mar;125(3):924-34 - PubMed
  13. J Foot Ankle Surg. 2007 Nov-Dec;46(6):464-9 - PubMed
  14. Foot Ankle Clin. 2001 Dec;6(4):839-51 - PubMed
  15. Surg Radiol Anat. 2002 Aug-Sep;24(3-4):183-9 - PubMed
  16. Br J Community Nurs. 2019 Sep 1;24(Sup9):S26-S32 - PubMed
  17. J Craniofac Surg. 2003 Jul;14(4):559-65 - PubMed
  18. Microsurgery. 2012 Oct;32(7):527-32 - PubMed
  19. Microsurgery. 2005;25(8):581-8 - PubMed
  20. J Reconstr Microsurg. 2006 Apr;22(3):173-81 - PubMed
  21. Burns. 2007 Dec;33(8):1041-5 - PubMed
  22. Ann Plast Surg. 2000 Dec;45(6):595-600 - PubMed

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