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A Child With a Burn-Related Foot and Ankle Contracture Treated With Multiple Modalities
Miranda Yelvington1, Michelle Scoggins, Leslie White
1Arkansas Children's Hospital, Little Rock.
Purpose:
The presence of hypertrophic scars, which cross lower extremity joints, can often result in decreased range of motion, limitations in functional mobility, and gait deviations. This article reviews a case and describes a multimodal treatment approach.
Summary Of Key Points:
A 6-year-old girl developed aggressive hypertrophic scars following a burn injury. A multimodal treatment approach, including splinting, elastomers, and physical therapy, was developed.
Conclusions:
Rapid improvements were demonstrated in measured objective outcomes.
Recommendations For Clinical Practice:
Early multimodal intervention, in addition to range of motion, stretching, massage, and compression garments, is recommended when treating hypertrophic scars. This case suggests that further study into a multimodal treatment approach may be beneficial to develop a standardized protocol for more efficient scar management.
