PMC6698275_01
Left foot of a newborn child after superficial partial, deep partial and full thickness burn of the big toe, tip of the third, fourth and fifth toe, lateral foot margin and the heel on the sixth day of treatment with Adaptic .
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The extent of the necrosis in the depths could not be estimated at this point (Fig. 1).
Lateral foot margin three months after burn. Lateralization of the toenail and complete re-epithelialization.
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The soft tissue of the small toe and its toe nail were laterally misrotated, the bone underneath, however, was palpable in an axis appropriate position (Fig. 2).
Surgical planning of the Z-plasty along the post-burn scar contracture. The marking of the incision runs along the shortened flexion fold. The post-burn scar contracture was released after performance of the Z-plasty. The full thickness skin graft was inserted into the incision defect after stretching the small toe in full extension.
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The defect size was measured in this position and at the lateral edge of the foot, outside of the instep area, a full thickness skin graft was removed and inserted into the defect (Fig. 3).