Return to run after partial amputation of the ankle: clinical assessment and instrumental evaluation.
OBJECTIVE
the traumatic amputation or partial amputation of a portion of the lower limb is one of the most serious and not so rare road accident and job injury. There are few cases reported of replantation of the lower extremities rather than amputation surgery. This work describes a case of partial amputation of the right ankle.


METHODS
the emergency treatment consisted of rigorous lavage and debridement, reduction, stabilization of the ankle and restoreation of the neurovascular and soft tissues lesions. Because of cutaneous necrosis another surgical treatment of reverse rotation flap was needed. The good outcome has been documented with foot pressure analysis, stabilometric evaluation and gait and jump analysis based on measurements of acceleration.


RESULTS
after seven months of personalized rehabilitation program the patient walks without devices, has recovered functional of range of movement and had no neurological deficit or subjective problems. Currently the subject has returned to his job and runs without pain.


CONCLUSIONS
emergency foot salvage treatment was possible thanks to a close collaboration among different physicians with specialized skills, good emergency management and an adequate infrastructure.
Alessio
A
Pedrazzini
Francesco
F
Ceccarelli
Alessandra
A
Martelli
Letizia
L
Marenghi
Federica
F
Petraglia
Davide
D
Romiti
Department of Clinical and Experimental Medicine, Physical Medicine and Rehabilitation Unit, University of Parma, Via Gramsci 14, Parma 43125, Italy. cosimo.costantino@unipr.it.
Cosimo
C
Costantino
D000063:Accidents, Traffic; D000673:Amputation, Traumatic / Q000601:surgery*; D064386:Ankle Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D016512:Ankle Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D017102:Fracture Healing; D006801:Humans; D008297:Male; D009049:Motorcycles; D000068958:Return to Sport; D062707:Return to Work; D012420:Running; D016879:Salvage Therapy; D013524:Surgical Flaps; D055815:Young Adult