Abstract
The study aims to comparatively assess long-term results of surgical treatment of burns aftereffects using local tissues and free flaps from 2005 to 2022. The surgical treatment was performed on 84 patients with aftereffects of lower limbs burns. The mean age of the patients was 9.2 ± 1.7 years. The patients were divided into two clinical groups: group I included 51 patients (60.7 %) with local tissue grafting, group II included 33 patients (39.3 %) with the author’s method of free flap grafting using tissue from the groin area, which allowed for reducing the occurrence of relapses to a minimum. Two patients who repeatedly underwent unsuccessful surgeries required an additional surgical intervention. Moreover, it can be considered successful, given that prior to the surgical intervention, there were practically no movements in the joints. Thue, the available data show the effectiveness of plastics with a free flap of defects remaining during excision of postburn tightening scars in the lower limbs. However, in individuals under 18 years of age, future bone growth should be taken into account, as well as the proximity of the lesion to the joints, in order to avoid tension and the need for reoperations.
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