Abstract
The foot and ankle scar post burn contractures are the result of deep partial and full-thickness burns that affect foot motion, impair the lower extremity function and benefit from surgical reconstruction. 76 patients (ages 2-46) with post burn foot and ankle joint contractures were treated at the Inter-regional Burn Center and burn department of RCSUMA Samarkand, Uzbekistan. The operations must be performed within 6-12 months after healing of burn wounds to prevent secondary changes. In the case when contracture is severe, the operation must be performed as soon as possible. The method of operation should be chosen according to both severity and localization of the injury, using local uninjured tissues and soft scars to make trapezoid, Z-form, triangular, free and other grafts placed on the area of the excised scars Results in 71, 05% of all cases the contracture of the foot-ankle joint was completely eliminated and the conditions necessary for the rehabilitation of the injured ankle were ensured. There was improvement after burn treatment or secondary changes due to inflammatory processes and foot inactivity due to its wrong position; in 3,95% there was not improvement. Negative results were due to deep tissue defect, irreversible changes in the bone- joints, late recourse to medical aid, and post operative effect. We did not observe any ulceration of skin grafts.
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