title: Through-and-through gunshot wounds to the foot: the "Fearless Fosdick" injury.
abstract: 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.
authors.affiliation: 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
authors.forename: Charles N
authors.initials: CN
authors.lastname: Verheyden
authors.forename: Brenda
authors.initials: B
authors.lastname: McLaughlin
authors.forename: Christopher
authors.initials: C
authors.lastname: Law
authors.forename: Kelly
authors.initials: K
authors.lastname: Gallego
authors.forename: Lawrence
authors.initials: L
authors.lastname: Ketch
authors.forename: Raleigh R
authors.initials: RR
authors.lastname: White
mesh_terms: 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*