Treatment of Lower Extremity and Foot Burns
Study
Main
Research
Sample
Purpose
Design
Burnsworth, Evaluation of a
1992100
protocol for
the early
ambulation of
patients with
lower
extremity skin
grafts.
Coban,
2004102
Grube,
1992101
Guild,
2001103
Retrospective chart
review and survey of
other burn centers
regarding early
ambulation.
58 patients with
burns to the lower
extremities
requiring excision
and grafting.
Patients began
ambulation
immediately after
grafting procedure.
Report on an Case report
18 year old patient
unusual
who had burn
contracture,
injury at age 2 and
foot deformity
presented with a
after a burn
calcaneal bone
injury.
dislocation and
severe dorsiflexion
contracture
Outcome of
Case series of patients 100 patients who
protocol for
with foot grafts treated had excision and
early
with Unna boot and
grafting of foot
ambulation
early ambulation.
burns, treated
and discharge
post-operatively
of patients
with Unna boot.
with foot
burns.
Description of Case report of a
1 patient with a
a splint for
patient with a dorsal
dorsal foot burn
dorsal foot
foot burn treated with a requiring grafting
burns
splint that pulls the
toes into flexion.
Outcome
Measures
Results
Length of stay
Average length of stay was Therapeutic
10.2 days which was
shorter than the length of
stay reported in the survey
of other burn centers.
IV
Clinical outcome
Good outcome after
surgical reconstruction.
Therapeutic
IV
Time to
The mean time to
ambulation, length ambulation after surgery
of stay
was 1 day and 64% of the
patients were discharged
on postoperative day 3
Therapeutic
IV
Clinical outcome
Therapeutic
IV
Patient had functional
range of motion at the
conclusion of treatment.
Study
Level of
Category Evidence
Rayatt,
2000104
Ullmann,
2003105
Description of
postoperative
splinting
technique to
be use after
surgical
correction of
foot
contracture.
Description of
Ilizarov
external
fixation
technique to
treat severe
flexion
contracture of
the knee.
Description of splinting
technique that uses a
thermoplastic boot
splint.
Number of patients Clinical outcome
on whom the splint
was used is not
stated.
Report of good clinical
outcome but no details
provided.
Therapeutic
IV
Case report
10 year old boy 8 Clinical outcome,
months post-burn range of motion
injury with 90
degree knee
flexion contracture
bilaterally.
Full Knee extension
obtained after conclusion
of treatment.
Therapeutic
IV