Severe Post-Burn Hyperextension of Metatarsophalangeal Joints in a Child With Bilateral Foot Contracture

Constantino, Juan A.; Rodriguez-Yuste, Jose A.; Quiles, Manuel

doi:10.1053/j.jfas.2006.09.022

Cited by 6 publications

(3 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1 The management of deep burns around joints presents a great challenge. Inadequate treatment and rehabilitation after deep burn injuries around lower extremity joints inevitably becomes complicated by debilitating contractures that can severely compromise extremity functions 2 and result in serious disability, [3][4][5] which leads to severe static and dynamic problems, including restricted range of motion, musculoskeletal discomfort, postural imbalance, walking disturbance, difficulty in shoe wear, callosities, and recurrent ulcerations. 2 Unfortunately, successful treatment of foot burns is a real challenge, and deformity correction in burned feet and ankles is difficult to achieve by any means.…”

mentioning

confidence: 99%

Distraction Histogenesis in Ankle Burn Deformities

Saghieh¹,

Bitar²,

Berjawi³

et al. 2011

Journal of Burn Care & Research

View full text Add to dashboard Cite

Burn injuries involving the joints around the lower extremity often lead to debilitating postburn contractures that frequently compromise extremity functions. Treatment of such injuries, especially involving the ankle and foot area, is very challenging. Conservative management has limited efficiency in correcting the deformities, whereas open surgical treatment is often coupled with high complication rates because of poor soft-tissue coverage and poor vascularity around the burnt areas. The use of the Ilizarov fixator has the advantage of tackling these deformities without the need for extensive open surgical procedures, which will minimize complications and recurrences. The authors present a series of three patients, two adults and one pediatric patient, who were treated successfully with minimally invasive surgery and soft-tissue distraction with the Ilizarov apparatus.

show abstract

mentioning

confidence: 99%

Distraction Histogenesis in Ankle Burn Deformities

Saghieh¹,

Bitar²,

Berjawi³

et al. 2011

Journal of Burn Care & Research

View full text Add to dashboard Cite

show abstract

“…Contractures in the dorsal foot often lead to hyperextension of the MTP joint, and in severe cases, subluxation or dislocation may occur. Since excessive lengthening may weaken extension strength, the tendon length should be maintained to the extent that allows placement of the hyperextended phalanges in their neutral positions 2223). In addition, in the present report, the authors performed lengthening to the extent that allowed positioning of the hyperextended phalanges parallel to the plantar aspect of the foot when the ankle was in a neutral position during surgery.…”

Section: Discussionmentioning

confidence: 89%

Reconstruction of Postburn Contracture of the Forefoot Using the Anterolateral Thigh Flap

Lee

Kim

et al. 2016

Clin Orthop Surg

View full text Add to dashboard Cite

BackgroundSevere forefoot deformities, particularly those involving the dorsum of the foot, cause inconvenience in daily activities of living including moderate pain on the dorsal aspect of the contracted foot while walking and difficulty in wearing nonsupportive shoes due to toe contractures. This paper presents clinical results of reconstruction of severe forefoot deformity using the anterolateral thigh (ALT) free flap.MethodsSevere forefoot deformities were reconstructed using ALT flaps in 7 patients (8 cases) between March 2012 and December 2015. The mean contracture duration was 28.6 years.ResultsAll the flaps survived completely. The size of the flaps ranged from 8 cm × 5 cm to 19 cm × 8 cm. The mean follow-up period was 10 months (range, 7 to 15 months). There was no specific complication at both the recipient and donor sites. There was one case where the toe contracture could not be completely treated after surgery. All of the patients were able to wear shoes and walk without pain. Also, the patients were highly satisfied with cosmetic results.ConclusionsThe ALT flap may be considered ideal for the treatment of severe forefoot deformity.

show abstract

“…1 Post-burn scars are an inevitable consequence of deep burns even with the best of treatment and such scars around the joints may be complicated by debilitating contractures severely compromising the extremity function, thus resulting in serious disability. 2,3 Among all the post burn deformities, foot contractures constitute 5-7% of deformity in adults and 10% in children. 4,5 Conventional methods of correction through extensive soft tissue releases, scar resection, grafts and flaps, osteotomies and arthrodesis have many disadvantages including neurovascular injuries, limited soft tissue coverage, donor site morbidity and shortening of foot.…”

Section: Introductionmentioning

confidence: 99%

Correction of neglected post-burn severe calcaneo-valgus deformity of foot with Joshi’s external stabilization system: a one stage surgical procedure

Mir

Adfar²,

Mir³

2023

Int J Res Orthop

View full text Add to dashboard Cite

Post burn calcaneovalgus is a complex foot deformity and management becomes increasingly difficult especially if deformity is neglected in growing young child resulting in secondary bony deformity. A simple technique of single stage surgical correction with Joshi’s external stabilization system (JESS) is described using principle of distraction osteogenesis or histogenesis without need of extensive plastic surgical procedure. A functional plantigrade foot is achieved after completion of the procedure without need of any bony procedure and least chances of any neurovascular compromise. JESS is a versatile external fixation device for correction of neglected postburn complex calcaneovalgus deformity.

show abstract

Severe Post-Burn Hyperextension of Metatarsophalangeal Joints in a Child With Bilateral Foot Contracture

Cited by 6 publications

References 11 publications

Distraction Histogenesis in Ankle Burn Deformities

Distraction Histogenesis in Ankle Burn Deformities

Reconstruction of Postburn Contracture of the Forefoot Using the Anterolateral Thigh Flap

Correction of neglected post-burn severe calcaneo-valgus deformity of foot with Joshi’s external stabilization system: a one stage surgical procedure

Contact Info

Product

Resources

About