International Journal of Clinical Research

Objective To explore the clinical effect of barker sterile dressing to repair foot skin necrosis in children. Methods The clinical data of 11 children with foot skin necrosis treated from December 2016 to October 2020. Among them, 6 males and 5 females with mean age of 6 (1～12) years; all were foot skin necrosis caused by trauma, with skin necrosis area of 1.5 cm ×2.6cm～10.0 cm 25.0 cm. The wound was treated with sterile dressing. The wound healing time, the healing scar score, skin color and texture and foot function recovery were recorded. Results All wounds healed completely with no cases of infection. The minimum healing time was 8 days and 90 days, with an average of 27 days. The follow-up period was June to 24 months, average 18 months; 10 cases of mild scar hyperplasia, 1 moderate; skin color grade after wound healing: 9 cases and effective in 2; texture grade: 10 cases and 1 effective. Three months after the operation, the swelling basically subsided, the color was ruddy, the skin was smooth, elastic, no obvious pigmentation, and good appearance. The skin healed at 2 years after surgery was nearly normal, smooth and soft, with no obvious scar hyperplasia and contracture, obvious palpation, and no cases of recurrent rupture. The foot function was excellent, and the families of the children were satisfied with the appearance and function recovery of the foot. Conclusion Using barker sterile dressing to repair foot skin necrosis in children is a safe and effective repair method with good clinical results.

Foot injury; Barker sterile dressing; Skin necrosis; Repair; Children