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Distribution of pedal burns by source and depth
N S Schoen1, L J Gottlieb, L S Zachary
1Department of Surgery, University of Chicago Medical Center, USA.
Summary
This study analyzed foot burn causes and outcomes. Scalds were the most common cause for isolated foot burns, often requiring less intensive treatment than multifocal burns.
Area of Science:
- Medicine
- Burn Surgery
- Trauma Care
Background:
- Foot burns are a significant concern in thermal trauma.
- Understanding burn sources and depths is crucial for effective treatment.
Purpose of the Study:
- To evaluate the relationship between burn source, depth, and treatment needs for isolated foot burns versus foot burns as part of multifocal trauma.
- To identify common causes and outcomes of pedal burns.
Main Methods:
- Retrospective review of 5 years of University of Chicago Burn Center cases.
- Analysis of 33 isolated foot burns and 89 multifocal burns including the foot.
- Categorization of burn sources (scald, grease, flame, etc.) and assessment of depth and grafting requirements.
Main Results:
- Scalds were the most frequent cause for isolated foot burns (70%), often partial thickness and not requiring grafting.
- Multifocal burns involving the foot had a higher proportion of flame (39%) and scald (42%) sources.
- Delayed hospital admission correlated with increased grafting needs and longer hospital stays.
Conclusions:
- Isolated pedal burns are frequently caused by scalds in domestic settings.
- Prompt hospital admission is vital for optimal burn management and reduced hospitalization.
- Management of pedal burns often involves addressing elements common in traumatic, dysvascular, and diabetic foot lesions.