ABSTRACT
Moving car-tire injury of the foot is a condition that appears to be a new clinical
entity in Istanbul, in which the non-weight-bearing surface of the foot is prone to
be injured. Between 1992 and 1995, eight moving car-tire injuries of the foot were
managed. Patient age averaged 10.25 years (range: 7 to 21 years). All patients presented
with soft-tissue loss combined with extensor tendon and bone lesions. In 6 patients,
immediate flap coverage after initial debridement and, in 2 patients, delayed coverage
after multiple debridements, were performed. All the flaps survived. Although in all
patients, the weight-bearing region was always intact, some had gait-pattern abnormalities
due to the bone and soft-tissue injuries. Early removal of all devitalized tissues
and closure of the wounds with transfer of healthy tissue have a higher rate of success,
lower incidence of infection, require fewer operative procedures, and shorter hospitalizations.
