advertising
-
1.
Dellinger, EP, SD Miller, MJ Wertz, et al. :Risk of infection after open fracture of the arm or leg. .Arch Surg 123::1320. ,1988. .
-
2.
Lenarz, CJ, JT Watson, BR Moed, et al. :Timing of wound closure in open fractures based on cultures obtained after debridement. .J Bone Joint Surg Am 92.:1921. ,2010. .
-
3.
Capobianco, CM, JJ Stapleton, and T Zgonis. :Soft tissue reconstruction pyramid in the diabetic foot. .Foot Ankle Spec 3::241. ,2010. .
-
4.
Masini, BD, CK Murray, JC Wenke, et al. :Prevention and treatment of infected foot and ankle wounds sustained in the combat environment. .Foot Ankle Clin 15::91. ,2010. .
-
5.
Gustilo, RB and JT Anderson. :Prevention of infection in the treatment of one-thousand and twenty-five open fractures of long bones: retrospective and prospective analysis. .J Bone Joint Surg Am 58::453. ,1976. .
-
6.
Kapoor, SK, H Kataria, SR Patra, et al. :Capsuloligamen-totaxis and definitive fixation by an ankle-spanning Ilizarov fixator in high-energy pilon fractures. .J Bone Joint Surg Br 92::1100. ,2010. .
-
7.
Stannard, JP, N Singanamala, and DA Volgas. :Fix and flap in the era of vacuum suction devices: what do we know in terms of evidence based medicine? Injury 41::780. ,2010. .
-
8.
Gopal, S, S Majumder, AG Batchelor, et al. :Fix and flap: the radical orthopaedic and plastic treatment of severe open fractures of the tibia. .J Bone Joint Surg Br 82::959. ,2000. .
-
9.
Heitmann, C and LS Levin. :The orthoplastic approach for management of the severely traumatized foot and ankle. .J Trauma 54::379. ,2003. .
-
10.
Levin, LS . :The reconstructive ladder: an orthoplastic approach. .Orthop Clin North Am 24::393. ,1993. .
-
11.
Cierny III, G, HS Byrd, and RE Jones. :Primary versus delayed soft tissue coverage for severe open tibial fractures: a comparison of results. .Clin Orthop Relat Res 178::54. ,1983. .
-
12.
Russell, GG, R Henderson, and G Arnett. :Primary or delayed closure for open tibial fractures. .J Bone Joint Surg Br 72::125. ,1990. .
-
13.
Blume, PA, JJ Key, P Thakor, et al. :Retrospective evaluation of clinical outcomes in subjects with split-thickness skin graft: comparing V.A.C. therapy and conventional therapy in foot and ankle reconstructive surgeries. .Int Wound J 7::480. ,2010. .
-
14.
Hallock, GG . :Utility of both muscle and fascia flaps in severe lower extremity trauma. .J Trauma 48::913. ,2000. .
Aggressive Early Reconstruction in Open Foot Trauma
A Case Report
Search for other papers by Bryan A. Sagray in
Current site
Google Scholar
PubMed
Open fracture-dislocation of the lower extremity poses a serious risk, has a high incidence of complications, and necessitates prompt surgical intervention. Patients need to be evaluated on presentation to the emergency department for neurovascular injury, soft-tissue insult, stability of the fracture, concomitant injuries, and overall medical/nutritional status. Implementation of a specific treatment protocol will decrease time to operative management and increase the overall success rate. Success after treatment of lower-extremity trauma should be defined as a noninfected, functional limb with optimal tissue preservation allowing ambulation. We present a case of open fracture-dislocation of the first ray treated with prompt debridement, skeletal stabilization, and immediate soft-tissue reconstruction. (J Am Podiatr Med Assoc 103(1): 76–80, 2013)
advertising
