Introduction: Most common cause of burns in paediatric age group is scalds. Though intentional paediatrics burns are reported, usually they are caused by accidental spillage of hot water. Along with fluid management, major part of managing burns involves repeated dressings. Biological dressings like collagen are impervious to bacteria and create the most biological interface between the wound surface and the environment, ensuing in better healing. Aim: To determine the effectiveness of collagen dressings in second degree paediatric burns. Materials and Methods: A cross-sectional descriptive study done at Mahabhodhi Burns Center, Bangalore Medical College and Research Institute, Bangalore, Karnataka, India, from January 2018 to December 2019, included 75 second degree paediatric burns patients. Re-epithelialisation rates, infection and progress to full thickness burns were evaluated. Statistical analysis was done using the Statistical Package for the Social Sciences (SPSS) software v.23. Results: Out of 75 children, 8 (10.7%) of children had complete re-epithelisation by seven days, 55 (73.3%) between 8 to 14 days and 4 (5.3%) between 14 to 21 days. Total 67 (89.3%) of children had complete epithialisation by 21 days, with mean of 9.5 days. Conclusion: Overall, collagen dressing helps in preventing infection, early re-epithelization, and avoids painful dressings. It minimises the psychological trauma on both patients as well as their parents.
Soft tissue reconstruction of distal third leg, heel and ankle region is a challenging problem because of poor vascularity and limited mobility of skin. The reverse sural artery with ideal flap thickness, minimal donor site morbidity, lack of functional muscle loss, short recovery time, wide arc of rotation and safe vascularity makes it a preferable flap for covering such defects. AIMS AND OBJECTIVES: To study various modifications of distally based reverse sural artery flap to suit the defects and for better survival of flaps. RESULTS: It is a retrospective study conducted in our institute to cover the distal leg and foot defects.60 cases of distal leg defects exposing vital structure who underwent reverse sural artery flap coverage were included in the study .5 of the 60 flaps had complete flap necrosis and another11 flaps had partial necrosis.73.4% of the flaps survived during the follow up period of 1 years with good functional outcome. CONCLUSIONS: Reverse sural artery flap with its modifications is a good flap for the defects of distal leg, heel and ankle defects. KEY WORDS: Reverse sural artery flap, modifications, distal leg defects. Mesh terms: Reverse sural artery flap, modifications, distal leg defects. INTRODUCTION:Soft tissue reconstruction of the lower third leg, ankle and foot region is a challenging problem. The major problem is the poor vascularity and limited mobility of the skin. Tendon, bone and hardware are frequently exposed because of the thinness of subcutaneous tissue making possibility of skin grafting a poor option. A durable flap with good skin texture, reliable vascularity, good arc of rotation, ease of dissection with minimum donor site morbidity is the most desired option for covering such defects.The different local flaps for hind foot defects including dorsalis artery flap 1 , abductor hallucis and abductor digiti minimi muscle flaps 2,3 have inadequate tissue and limited arc of rotation thereby limiting their frequent use. Medial plantar artery flap is an excellent option for weight bearing heel but its involvement in trauma frequently precludes its use.Locoregional flaps for lower leg and ankle defects such as the peroneal artery flap, anterior tibial artery flap and posterior tibial artery flap 4-6 have the disadvantage of sacrificing a major artery in already traumatized limb. Supramalleolar flap 7 is another option but its reliability is questionable in compromised vascularity. Morbidity and operative times are increased in technically demanding microvascular surgeries 8,9 . Ideal flap thickness and quality, minimal donor site morbidity, the lack of functional loss, short recovery time , the wide arc of rotation and safe vascularity are the significant advantages of the reverse sural artery flap.Masquelet et al 10 Introduced the sural flap in 1992 with concise description of relevant anatomy and the surgical procedure. After the work of Masquelet et al distally based sural fasciocutaneous flap has become a mainstay in the reconstruction of the lower leg, ankle and ...
AIMS: Distal leg defects are very difficult to cover because its structure its vicarious blood supply paucity of the muscles. Peroneus brevis muscle type 2 muscle long & slender to cover small & medium size defects. Prospective study conducted in Victoria hospital to cover the post traumatic distal leg defects. 20cases of distal leg defects exposing vital structure which require the flap cover. 16 patients are male, patients ranging from 18yrs to 65yrs. RESULTS AND CONCLUSIONS: 18 flaps survived. 2cases flap loss 2 cases graft loss. No functional deficit noted, less donor defect. Ideal flap for the small & medium size defects of distal leg.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.