Girbon J P, Maligot B, Coiffier E, Gonzalez-Gutierrez L, Gaussorgues C, Lacroix P, Braye F
Centre des Brûlés de l'Hôpital E. Herriot, Lyon, France.
Ann Burns Fire Disasters. 2008 Jun 30;21(2):94-101.
The incorrect position of the foot in talipes equinus is common in the framework of prolonged confinement to bed in a patient in deep sedation. In the context of severe burns, this incorrect position is difficult to prevent and its fixation by cutaneous shrinkage, which is often associated with a musculotendinous fibrosis, constitutes an important functional after-effect. The onset of talipes equinus is insidious and progressive, and it is therefore important to be watchful both in detection and in prevention. Regular photographic assessment makes it possible to predict its appearance and to take appropriate preventive or curative action.
在深度镇静的患者长期卧床的情况下,马蹄足中足部的不正确位置很常见。在严重烧伤的情况下,这种不正确的位置很难预防,并且由于皮肤收缩导致的固定,这通常与肌腱纤维化有关,构成了重要的功能后遗症。马蹄足的发病隐匿且渐进性发展,因此在检测和预防方面保持警惕很重要。定期拍照评估能够预测其出现并采取适当的预防或治疗措施。