title: Aggressive early reconstruction in open foot trauma: a case report.
abstract: Open fracture-dislocation of the lower extremity poses a serious risk, has a high incidence of complications, and necessitates prompt surgical intervention. Patients need to be evaluated on presentation to the emergency department for neurovascular injury, soft-tissue insult, stability of the fracture, concomitant injuries, and overall medical/nutritional status. Implementation of a specific treatment protocol will decrease time to operative management and increase the overall success rate. Success after treatment of lower-extremity trauma should be defined as a noninfected, functional limb with optimal tissue preservation allowing ambulation. We present a case of open fracture-dislocation of the first ray treated with prompt debridement, skeletal stabilization, and immediate soft-tissue reconstruction.
authors: Department of Orthopaedics/Podiatry Division, Inova Fairfax Hospital, 3300 Gallows Road, Falls Church, VA 22042, USA. bryan.sagray@gmail.com
authors: Bryan A
authors: BA
authors: Sagray
mesh_terms: D000328:Adult; D005528:Foot / Q000473:pathology / Q000601:surgery*; D005597:Fractures, Open / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D008297:Male; D008682:Metatarsal Bones / Q000293:injuries* / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D017695:Soft Tissue Injuries / Q000150:complications / Q000601:surgery*; D016896:Treatment Outcome