Outcomes of grafted skin on the dorsum of the foot after car-tire friction injuries

Background 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-t...

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Autores principales:	Shin Hyun Kim, Won Jai Lee
Formato:	article
Lenguaje:	EN
Publicado:	Korean Society of Plastic and Reconstructive Surgeons 2021
Materias:	skin transplantation accidental injury hypertrophic scar Surgery RD1-811
Acceso en línea:	https://doaj.org/article/4b2357f5caf1456f9a4a782fb94801f9
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spelling	oai:doaj.org-article:4b2357f5caf1456f9a4a782fb94801f92021-11-25T06:04:37ZOutcomes of grafted skin on the dorsum of the foot after car-tire friction injuries2234-61632234-617110.5999/aps.2021.00962https://doaj.org/article/4b2357f5caf1456f9a4a782fb94801f92021-11-01T00:00:00Zhttp://www.e-aps.org/upload/pdf/aps-2021-00962.pdfhttps://doaj.org/toc/2234-6163https://doaj.org/toc/2234-6171Background 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. Methods 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. Results 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. Conclusions 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.Shin Hyun KimWon Jai LeeKorean Society of Plastic and Reconstructive Surgeonsarticleskin transplantationaccidental injuryhypertrophic scarSurgeryRD1-811ENArchives of Plastic Surgery, Vol 48, Iss 6, Pp 678-684 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	skin transplantation accidental injury hypertrophic scar Surgery RD1-811
spellingShingle	skin transplantation accidental injury hypertrophic scar Surgery RD1-811 Shin Hyun Kim Won Jai Lee Outcomes of grafted skin on the dorsum of the foot after car-tire friction injuries
description	Background 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. Methods 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. Results 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. Conclusions 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.
format	article
author	Shin Hyun Kim Won Jai Lee
author_facet	Shin Hyun Kim Won Jai Lee
author_sort	Shin Hyun Kim
title	Outcomes of grafted skin on the dorsum of the foot after car-tire friction injuries
title_short	Outcomes of grafted skin on the dorsum of the foot after car-tire friction injuries
title_full	Outcomes of grafted skin on the dorsum of the foot after car-tire friction injuries
title_fullStr	Outcomes of grafted skin on the dorsum of the foot after car-tire friction injuries
title_full_unstemmed	Outcomes of grafted skin on the dorsum of the foot after car-tire friction injuries
title_sort	outcomes of grafted skin on the dorsum of the foot after car-tire friction injuries
publisher	Korean Society of Plastic and Reconstructive Surgeons
publishDate	2021
url	https://doaj.org/article/4b2357f5caf1456f9a4a782fb94801f9
work_keys_str_mv	AT shinhyunkim outcomesofgraftedskinonthedorsumofthefootaftercartirefrictioninjuries AT wonjailee outcomesofgraftedskinonthedorsumofthefootaftercartirefrictioninjuries
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Outcomes of grafted skin on the dorsum of the foot after car-tire friction injuries

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