Allograft Dressing for a Free Muscle Flap in Foot Burns

Shelley, Odhran; Farroha, Azzam

doi:10.1097/bcr.0b013e31825d5019

Cited by 1 publication

(2 citation statements)

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“…Free tissue transfer in this setting offers excellent soft tissue reconstruction but often results in bulky tissue at the ankle level, which affects the patient's ability to wear conventional footwear. 4 For this patient, the tibialis posterior transfer procedure provided an excellent functional outcome despite the lack of local soft tissue, fibrosis, and fixed flexion deformity issues. The tibialis posterior transfers were performed with the aim to reestablish active dorsiflexion in both feet and to remove the tibialis posterior as a deforming force.…”

Section: Discussionmentioning

confidence: 82%

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Tibialis Posterior Tendon Transfers to Correct Bilateral Postburn Ankle Equinus

Chee

McKenna²,

Shelley³

2021

Ann Plast Surg

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Treatment of joint contractures after burn injury is challenging because various factors influence the treatment options including the lack of local tissue, significant fibrotic changes with associated loss of joint pliability, increased prevalence of infection in burn patients, and patient-related medical comorbidities.We present a case of a 60-year-old woman who had severe bilateral postburn ankle equinus deformities after self-immolation in the setting of significant soft tissue injury, fibrosis, and loss of joint movement. This deformity deprived her of the ability to walk, even aided, and she was unable to progress with her rehabilitation. We used the tibialis posterior tendon transfer to completely correct her postburn ankle equinus allowing for the restoration of both her feet to a neutral position, which enabled the patient to walk unaided after the surgery. This is a simple and effective solution to a complex problem when soft tissue reconstruction is limited. Patients with this complication are wheelchair dependent, and we suggest that posterior tibialis transfer should be considered as a surgical intervention for burns with severe equinus contracture even if there is a fixed deformity to allow for their full rehabilitation after injury.

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Section: Discussionmentioning

confidence: 82%

“…This case illustrates that the tendon transfer can be successfully used even in cases where the position is not passively correctable. Free tissue transfer in this setting offers excellent soft tissue reconstruction but often results in bulky tissue at the ankle level, which affects the patient's ability to wear conventional footwear 4 …”

Section: Discussionmentioning

confidence: 99%