Background@#A
car-
tire friction injury on the dorsum of a
child’s
foot often results in hypertrophic
scarring of the
wound margins. This study describes the clinical appearance of the injured areas and surgical
complications that occurred during the follow-up period in a series of
children with
car-
tire friction injuries who were treated with split-thickness
skin grafts (STSGs). We describe the clinical features that we believe need to be highlighted when initially treating
car-
tire injuries in
children. @*
Methods@#From May 2003 to June 2016, our
retrospective study included 15
patients with
car-
tire injuries on the dorsum of the
foot who were treated with surgical excision and STSG to cover the
wound. @*Results@#A total of 15
patients with
car-
tire injuries were treated. The average age was 6.26 years old. The average
injury grade was 3.26. Two
patients were treated using delayed repair, and 13
patients received STSG for initial management. Four
patients experienced no
complications, while 11
patients had
hypertrophic scars and/or
scar contracture after
surgery. @*Conclusions@#A
car-
tire friction injury on the dorsum of a
child’s
foot often results in
hypertrophic scar formation or
scar contracture even if proper management is undertaken. Since the occurrence of these
complications in childhood can
lead to a
secondary deformity, it is important to properly treat
car-
tire friction wounds, inform
patients and
caregivers about potential
complications, and ensure regular follow-up evaluations over a 12-month period following the initial
surgery.