Related Experiment Video
Updated: May 28, 2026
07:45
Severe Burn Injury in a Swine Model for Clinical Dressing Assessment
Published on: November 6, 2018
[Post-burn scar contractures in children in the lower limb]
A A Sankale1, P Manyacka Ma Nyemb, N F Coulibaly
1Service de chirurgie pédiatrique, Hôpital Le Dantec, Dakar, Sénégal.
Annals of Burns and Fire Disasters
|October 13, 2011
Summary
This study analyzed 42 pediatric lower limb burn sequelae cases in Senegal, finding that Z-plasty with skin grafting and functional rehabilitation are key treatments. Prevention of domestic accidents is crucial for optimizing care.
Area of Science:
- Pediatric Surgery
- Burn Sequelae Management
- Epidemiology of Pediatric Burns
Context:
- Focuses on epidemiological, clinical, and therapeutic aspects of lower limb burn sequelae in children.
- Presents data from 42 cases managed at Aristide Le Dantec Hospital in Senegal.
- Highlights common burn causes (flame, hot liquids, embers) and affected areas (knee, popliteal fossa, foot).
Purpose:
- To detail the epidemiological, clinical, and therapeutic characteristics of pediatric lower limb burn sequelae.
- To evaluate surgical interventions, including Z-plasty and skin grafting, for burn contractures.
- To assess the role of functional rehabilitation in managing burn sequelae.
Summary:
- The study reviewed 42 pediatric cases with a mean age of 5 years and 3 months, and a male-to-female ratio of 1.8:1.
- Retractile scars affected the knee/popliteal fossa (47%) and foot (45%), with 21% bilateral involvement.
- Surgical treatment, primarily Z-plasty (91%) with skin grafting (54%), was performed after a mean delay of 3 years and 2 months, alongside functional rehabilitation (54%).
Impact:
- Emphasizes the need for improved prevention of domestic accidents to reduce burn injuries in children.
- Suggests that optimized management requires both effective therapeutic strategies and enhanced preventative measures.
- Contributes to understanding burn sequelae management in a resource-limited setting, informing clinical practice and public health initiatives.
Related Concept Videos
01:24Healing II: Complications
Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...
01:22Burn Injuries
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
01:10Bones of the Lower Limb: Tibia and Fibula
The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
01:27Fractures: Bone Repair
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...