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Aggressive Early Reconstruction in Open Foot Trauma

A Case Report

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  • 1 Department of Orthopaedics/Podiatry Division, Inova Fairfax Hospital, 3300 Gallows Road, Falls Church, VA 22042. (E-mail: bryan.sagray@gmail.com)
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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)