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Plantar burns in children: epidemiology and sequelae

Juan P Barret1, David N Herndon

  • 1Shriners Burns Hospital, Galveston, TX, USA. Juan.Barret@meht.nhs.uk

Annals of Plastic Surgery
|October 27, 2004
PubMed

Insights

Conservative treatment for pediatric plantar burns shows a low complication rate. Early ambulation is key, with surgery reserved for burns not healing within three weeks to prevent long-term gait issues.

Area of Science:

  • Pediatric surgery
  • Burn management
  • Orthopedic surgery

Background:

  • Pediatric plantar burns have unique characteristics impacting gait.
  • Optimal treatment strategies for these burns remain debated.
  • Anatomical alterations can lead to significant gait disturbances.

Purpose of the Study:

  • To evaluate the outcomes of conservative treatment for pediatric plantar burns.
  • To identify risk factors associated with complications and sequelae.
  • To compare conservative versus surgical management outcomes.

Main Methods:

  • A study of 40 pediatric patients with isolated plantar burns.
  • Conservative treatment with silver sulfadiazine and early ambulation.
  • Autografting for burns not healed within 3 weeks.

Main Results:

  • 70% partial-thickness and 30% full-thickness burns observed.
  • Low acute complications: 1 cellulitis, 1 prolonged ambulation difficulty.
  • 3 patients required autografting; no late sequelae.
  • 5 patients with late sequelae all had conservative healing, younger age, and longer healing time (24.4 days).

Conclusions:

  • Conservative management of pediatric plantar burns has a negligible complication rate.
  • Burns unresponsive to conservative treatment within 3 weeks benefit from excision and autografting.
  • Surgical intervention in this series yielded a 0% complication rate for late sequelae.

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