[Iatrogenic necrosis of the large toe after tourniquet placement--clinical course and reconstruction].
We present a necrosis of the big toe in a 20-year-old woman with an ingrowing toenail after wedge-shaped excision in the big toe. The reason for the necrosis was a tourniquet that was left in place after the operation. The ischemia, which lasted for 2 days, resulted in subtotal necrosis of the big toe. Six weeks after the operation the patient underwent microsurgical reconstruction. This is a report on the treatment of this complication from the beginning. Early surgical intervention is advocated.
Klinische Abteilung für Plastische und Rekonstruktive Chirurgie, Universitätsklinik für Chirurgie, Karl Franzens Universität Graz.
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F
Haas
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H
Moshammer
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F
Schwarzl
D000328:Adult; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D007511:Ischemia / Q000601:surgery*; D009263:Nails, Ingrown / Q000601:surgery*; D009336:Necrosis; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation; D014034:Toes / Q000098:blood supply*; D014111:Tourniquets
Iatrogene Grosszehnekrose nach belassener Blutsperre--klinischer Verlauf und Rekonstruktion.