Through-and-through gunshot wounds to the foot: the "Fearless Fosdick" injury.
Through-and-through gunshot wounds of the foot present the unique problem of needing to fill a defect while at the same time providing coverage of the dorsum and plantar surface of the foot. A series of 5 patients from 2 institutions is presented. These patients all sustained gunshot wounds that penetrated the forefoot, leaving a rim of uninjured soft tissue and bone around the periphery. All patients were reconstructed with free-tissue transfers, but no bone grafting was required to replace missing bone. One patient did have an arthrodesis and wedge osteotomy to help with walking mechanics. Soft-tissue reconstruction only is adequate to restore the foot sufficiently to allow the patient to walk satisfactorily.
Verheyden
Charles N
CN
Department of Surgery, Division of Plastic Surgery, Scott and White Clinic, The Texas A&M University System Health Science Center, Temple, TX 76508, USA. cverheyden@swmail.sw.org
McLaughlin
Brenda
B
Law
Christopher
C
Gallego
Kelly
K
Ketch
Lawrence
L
White
Raleigh R
RR
D000293:Adolescent; D000328:Adult; D005260:Female; D005528:Foot / Q000601:surgery*; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D014948:Wounds, Gunshot / Q000601:surgery*; D014950:Wounds, Penetrating / Q000601:surgery*