Abstract
Burns and scars of the ankle anterior surface and dorsal foot restrict joint dorsi extension, walking, the wearing of shoes, and present a severe cosmetic defect. In children, foot development is delayed. Early reconstruction is therefore indicated along with simultaneous correction of all contractures and deformities. Scars form a fold, which is the scar surface surplus. The real contracture cause is the scar surface deficit in length. The presence of scar surface surplus in width allows for contracture elimination with local flaps. Treatment with triangular flaps does not allow for complete contracture release. Trapezoid-flap plasty is more efficient per se or in combination with skin transplantation. Rough mature scars undergo excision through an intermediate layer and wounds are covered with whole skin transplants.
Keywords
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Grishkevich VM. Ankle dorsilexion postburn scar contractures: anatomy and reconstructive techniques. Burns. 2012;38:882–8.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Grishkevich, V.M., Grishkevich, M. (2018). Medial Ankle Dorsiflexion Contractures and Techniques for Their Treatment. In: Plastic and Reconstructive Surgery of Burns. Springer, Cham. https://doi.org/10.1007/978-3-319-78714-5_37
Download citation
DOI: https://doi.org/10.1007/978-3-319-78714-5_37
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-78713-8
Online ISBN: 978-3-319-78714-5
eBook Packages: MedicineMedicine (R0)