Dhanraj Prema, Owiesy Faro, Phillips Linda G, McCauley Robert L
Shriners Burns Hospital for Children, University of Texas Medical Branch, Galveston, TX, USA.
Burns. 2002 Dec;28(8):814-9. doi: 10.1016/s0305-4179(02)00189-4.
Children who sustain large total body surface area (TBSA) burns with involvement of the lower extremities frequently sustain injuries to the dorsum of the feet. Burn scar contractures of the feet can develop as a sequela of the burn injury. Such contractures frequently require surgical correction. Many surgeons proceed with staged unilateral corrections when both feet are equally in need of operative intervention. The purpose of the study is to determine if the morbidity for correction of bilateral dorsal foot contractures is different from that for the correction of unilateral dorsal foot contractures.A retrospective review from January 1994 to July 1999 was undertaken. Forty-five patients with photographic record of burn scar contracture of the feet were identified. Twenty-five patients underwent staged unilateral surgical correction and twenty patients underwent simultaneous bilateral correction of the feet. All patients underwent surgical correction with split thickness skin grafts (STSG). No statistical difference was found in terms of mortality, development of contracture, or number of reconstructive procedures. However, the length of stay revealed the efficacy of the bilateral simultaneous release of the dorsal feet.
全身表面积（TBSA）烧伤面积大且累及下肢的儿童，足部背侧经常会受伤。足部烧伤瘢痕挛缩可能作为烧伤损伤的后遗症而出现。这种挛缩常常需要手术矫正。当双脚同样需要手术干预时，许多外科医生会进行分期单侧矫正。本研究的目的是确定双侧足背挛缩矫正的发病率是否与单侧足背挛缩矫正的发病率不同。对1994年1月至1999年7月进行了回顾性研究。确定了45例有足部烧伤瘢痕挛缩照片记录的患者。25例患者接受了分期单侧手术矫正，20例患者接受了同期双侧足部矫正。所有患者均采用中厚皮片（STSG）进行手术矫正。在死亡率、挛缩的发生或重建手术的数量方面未发现统计学差异。然而，住院时间显示了双侧同时松解足背的疗效。
