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A Novel Technique to Close Large Defects in the Foot Secondary to Infection Using Widely Available and Inexpensive Tools: A Case Report

Ngan T. NguyenRancho Los Amigos National Rehabilitation Center, Downey, CA.
Keck School of Medicine, Los Angeles, CA.

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Tanzim KhanRancho Los Amigos National Rehabilitation Center, Downey, CA.
Keck School of Medicine, Los Angeles, CA.

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One of the challenges after central ray resection is a large soft-tissue defect. Many authors have reported the use of external fixators as a means of narrowing the forefoot. Ours is the first article to report an interesting case using widely available and inexpensive tools such as Kirschner and cerclage wires as an external fixation means of narrowing the forefoot after a complete second-ray resection and extensive soft-tissue debridement for a severe diabetic foot ulcer. This simple yet inexpensive technique is easy to perform for any foot and ankle surgeon at any hospital or surgical center.

Corresponding author: Ngan T. Nguyen, DPM, Rancho Los Amigo Rehabilitation Center, 7601 E Imperial Hwy, Downey, CA 90242. (E-mail: ngannguyens@gmail.com)
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