title: A new management strategy for puncture wounds of the foot. A case report.
abstract: This is a case report of persistent foot infection after a deep puncture wound caused by a bolt which went through a sandal and into the foot. An occult rubber foreign body was missed by X-ray and MRI. On the basis of persistence of infection the foot was explored. A small dorsal skin incision converted a deep track into a tunnel, through which irrigation and curettage were done. With the rinse came a piece of rubber. The patient made a complete recovery. By converting the tract into a tunnel instead of extensive dissection, management was improved considerably. This strategy has not hitherto been reported.
authors.affiliation: Hamad Medical Corporation, Bin Omran, El-Rayyan Rd, PO Box 3050, Doha, Qatar. Chaarani ortho@hotmail.com
authors.forename: M W
authors.initials: MW
authors.lastname: Chaarani
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003475:Curettage; D005260:Female; D018409:Foot Injuries / Q000150:complications*; D005547:Foreign Bodies / Q000382:microbiology / Q000601:surgery*; D006801:Humans; D008684:Metatarsus / Q000293:injuries / Q000601:surgery; D008826:Microbial Sensitivity Tests; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D011552:Pseudomonas Infections / Q000188:drug therapy / Q000601:surgery*; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification*; D018461:Soft Tissue Infections / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery*; D007507:Therapeutic Irrigation; D014950:Wounds, Penetrating / Q000382:microbiology / Q000601:surgery*
chemical_list: D000900:Anti-Bacterial Agents