Plantar burns in children: Epidemiology and sequelae

Juan P. Barret, David Herndon

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Pediatric plantar burns present with significant and unique characteristics. The treatment of choice remains controversial, and any alteration of the anatomy will lead to alteration in gait. To study the outcome of conservative treatment of plantar burns and determine risk factors, 40 pediatric patients affected with isolated plantar burns were studied. All burns were treated with silver sulfadiazine and early ambulation, and those that did not heal within 3 weeks were autografted. Twenty-eight patients (70%) had partial-thickness burns and 12 patients (30%) full-thickness burns. Complications during the acute period included 1 episode of cellulitis and 1 patient with prolonged difficulties with ambulation. Three patients required excision and autografting, and none of them developed late sequelae. Five patients presented with late sequelae, and all had in common complete healing with conservative treatment, young age, and a longer healing time (24.4 days). We conclude that conservative treatment of pediatric plantar burns has a negligible complication rate. Burns that do not heal within 3 weeks are best managed with excision and autografting, which had a 0% incidence of complication rate in this series.

Original languageEnglish (US)
Pages (from-to)462-464
Number of pages3
JournalAnnals of Plastic Surgery
Volume53
Issue number5
DOIs
StatePublished - Nov 2004

Fingerprint

Burns
Epidemiology
Autologous Transplantation
Pediatrics
Silver Sulfadiazine
Mobility Limitation
Early Ambulation
Cellulitis
Gait
Anatomy
Outcome Assessment (Health Care)
Incidence
Conservative Treatment

Keywords

  • Burns
  • Children
  • Foot
  • Outcome
  • Plantar

ASJC Scopus subject areas

  • Surgery

Cite this

Plantar burns in children : Epidemiology and sequelae. / Barret, Juan P.; Herndon, David.

In: Annals of Plastic Surgery, Vol. 53, No. 5, 11.2004, p. 462-464.

Research output: Contribution to journalArticle

Barret, Juan P. ; Herndon, David. / Plantar burns in children : Epidemiology and sequelae. In: Annals of Plastic Surgery. 2004 ; Vol. 53, No. 5. pp. 462-464.
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