Ali Hassan A, Fayi Khalid A, Alkhathami Ali M, Alturaiki Nouf, Alshammari Eman M
Department of Plastic Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs Riyadh, Saudi Arabia.
Department of Plastic Surgery, King Faisal Specialist Hospital & Research Centre Riyadh, SA, Saudi Arabia.
Int J Burns Trauma. 2023 Feb 15;13(1):8-12. eCollection 2023.
Burn injuries can lead to a variety of short- and long-term complications, peripheral neuropathy has been known as the most common neuromuscular complication. 29% of the burn-related peripheral neuropathy has been found in both the upper and lower limbs. Moreover, literature failed to find the causative factors for specific presentations like foot drop in burn patients. This study reports a series of 10 patients who developed foot drop after burn injury and required occupational therapy follow up at King Abdulaziz Medical City in Riyadh. To assess the effect of different risk factors in the outcome of foot drop. 10 case records were reviewed, 70% among the patients were men and 30% were women with a mean age of 39 and a mean BMI of 28. Most of the patients 70% were burned by flame. The mean Total Body Surface Area (TBSA) was 62%. 4 of the cases (40%) were having comorbidities. There was a significant association between death and high TBSA. All cases were managed without surgical intervention, physiotherapy started immediately after the diagnosis of foot drop. Seventy percent of our patients improved while 3 cases have expired. Higher TBSA showed to be significantly associated with death.
烧伤会导致多种短期和长期并发症，周围神经病变是最常见的神经肌肉并发症。29%的烧伤相关周围神经病变发生在上肢和下肢。此外，文献中未发现烧伤患者出现足下垂等特定表现的致病因素。本研究报告了在利雅得阿卜杜勒阿齐兹国王医疗城的一系列10例烧伤后出现足下垂并需要职业治疗随访的患者。为了评估不同风险因素对足下垂预后的影响。回顾了10例病例记录，患者中70%为男性，30%为女性，平均年龄39岁，平均体重指数28。大多数患者（70%）被火焰烧伤。平均全身表面积（TBSA）为62%。4例（40%）有合并症。死亡与高TBSA之间存在显著关联。所有病例均未进行手术干预，足下垂诊断后立即开始物理治疗。我们70%的患者病情有所改善，3例死亡。较高的TBSA显示与死亡显著相关。
