Open AccessPOST-BURN SCAR DEFORMITIES OF THE FOOT: PECULIARITIES OF CLINICAL FINDINGS AND TREATMENT
Author(s) -
А Г Баиндурашвили,
Баиндурашвили Алексей Георгиевич,
Konstantin А. Afonichev,
Афоничев Константин Александрович,
О. В. Филиппова,
Филиппова Ольга Васильевна
Publication year - 2014
Publication title -
ortopediâ, travmatologiâ i vosstanovitelʹnaâ hirurgiâ detskogo vozrasta
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.157
H-Index - 4
eISSN - 2410-8731
pISSN - 2309-3994
DOI - 10.17816/ptors2118-26
Subject(s) - scars , muscle contracture , medicine , foot (prosody) , contracture , ankle , deformity , surgery , tendon , foot deformity , linguistics , philosophy
The article describes the development terms of scar deformities of the foot and secondary changes in the tendon-muscular and osteoarticular systems depending on the child’s age and localization of scars. It is shown that the most common type of the secondary deformation is extensive contracture in metatarsophalangeal joints. In almost half of the patients (46.1 %) contractures lead to dislocations in metatarsophalangeal joints. It is noted that in younger children (1-3 years old) secondary deformations developed in the earliest time, after only 8 months after burn injury. It is shown that scars located on the lateral surface of the foot with the transition to the ankle cause an increased risk of multiplanar foot deformity. Prolonged existence of multiplanar deformation leads to the changes of the shape of the articular surfaces and requires a multi-stage surgical treatment.