Kim Shin Hyun, Lee Won Jai
Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine, Seoul, Korea.
Arch Plast Surg. 2021 Nov;48(6):678-684. doi: 10.5999/aps.2021.00962. Epub 2021 Nov 15.
A car-tire friction injury on the dorsum of a child's foot often results in hypertrophic scarring of the wound margins. This study describes the clinical appearance of the injured areas and surgical complications that occurred during the follow-up period in a series of children with car-tire friction injuries who were treated with split-thickness skin grafts (STSGs). We describe the clinical features that we believe need to be highlighted when initially treating car-tire injuries in children.
From May 2003 to June 2016, our retrospective study included 15 patients with car-tire injuries on the dorsum of the foot who were treated with surgical excision and STSG to cover the wound.
A total of 15 patients with car-tire injuries were treated. The average age was 6.26 years old. The average injury grade was 3.26. Two patients were treated using delayed repair, and 13 patients received STSG for initial management. Four patients experienced no complications, while 11 patients had hypertrophic scars and/or scar contracture after surgery.
A car-tire friction injury on the dorsum of a child's foot often results in hypertrophic scar formation or scar contracture even if proper management is undertaken. Since the occurrence of these complications in childhood can lead to a secondary deformity, it is important to properly treat car-tire friction wounds, inform patients and caregivers about potential complications, and ensure regular follow-up evaluations over a 12-month period following the initial surgery.
儿童足部背侧的汽车轮胎摩擦伤常导致伤口边缘出现增生性瘢痕。本研究描述了一系列接受中厚皮片移植（STSG）治疗的儿童汽车轮胎摩擦伤患者在随访期间受伤部位的临床表现及手术并发症。我们描述了在儿童汽车轮胎伤初始治疗时认为需要重点关注的临床特征。
2003年5月至2016年6月，我们的回顾性研究纳入了15例足部背侧汽车轮胎伤患者，这些患者接受了手术切除并用STSG覆盖伤口。
共治疗了15例汽车轮胎伤患者。平均年龄为6.26岁。平均损伤等级为3.26。2例患者采用延迟修复治疗，13例患者初始治疗接受了STSG。4例患者未出现并发症，11例患者术后出现增生性瘢痕和/或瘢痕挛缩。
即使进行了适当处理，儿童足部背侧的汽车轮胎摩擦伤仍常导致增生性瘢痕形成或瘢痕挛缩。由于儿童期出现这些并发症可能导致继发畸形，因此正确治疗汽车轮胎摩擦伤口、告知患者及护理人员潜在并发症并确保在初次手术后12个月内定期进行随访评估非常重要。
