Friction Burn on Foot Caused by Car-Tire

ABSTRACT

PURPOSE: There are some cases which the patients, especially the pedestrians whose feet have been run over by cars. We will look closely into the mechanism that causes friction burn, the amount of damage on the wound, and possible solutions for the treatment. METHODS: From January 2006 till December 2009, the study included 18 hospitalized patients. Charts about friction burn by tire were reviewed. We reviewed patient's age, sex, place where they got injury, type of burn, surgery types and the period of hospitalization. RESULTS: The average age was of acute injury group 9.3 years old, 22.7 years in secondary deformity group. 7 patients were male, 11 patients were female. Average hospitalization period was 23.6 days and mean follow up period was 7.3 months. There was 1 patient with third degree burn accompanying soft tissue defect with tendon injury. 14 patients had second degree of burn, and they immediately had taken skin graft. 1 patient had to receive the free flap. In addition, 3 patients who have damaged 10 to 20 years ago got cicatrix and had scar release and skin graft because of burn scar contracture and hypertrophic scar. CONCLUSION: Various types of friction burn have been observed - from burns that can be treated with dressing only to those require free flap. Therefore proper and timely treatments must be done in order to reduce the chance of developing a complication, and to provide early recovery for the patients as well.