Paediatric Lower Extremity Burns in Bangladesh: Incidence and Outcome

<i>Introduction:</i> Pediatric lower extremity burns pose a significant challenge due to their impact on physical function, aesthetics, and quality of life. This study aims to assess the incidence, severity, management approaches, and outcomes of lower limb burns in children within the context of Bangladesh. <i>Methods:</i> This prospective observational study was conducted in the Department of Burn and Plastic Surgery, Dhaka Medical College Hospital, Dhaka, Bangladesh, from January 2021 to October 2022. In this study, a total of 40 pediatric patients with lower extremity burns were analyzed. <i>Result:</i> The most affected age group was 5–8 years (35%), with a higher prevalence in females (62.5%). Scald burns were the most common cause (35%), followed by flame burns (30%). Superficial partial-thickness burns were the most frequent (37.5%). Surgical intervention was required in 47.5% of cases, predominantly for flame and ash burns. Common surgical procedures included wound excision, scar release, and skin grafting. Delayed hospital admission beyond five days occurred in nearly half of the cases. Functional outcomes varied, with full range of motion achieved in 50% of patients and full functionality restored in 25%. Surgical cases had a higher incidence of hypertrophic scarring and limited functionality. <i>Conclusion:</i> Pediatric lower extremity burns require a multifaceted approach, with early intervention crucial in reducing complications. Delayed admissions contribute to worse outcomes, highlighting the need for improved burn awareness and timely medical intervention.