Complex Foot Injury: Early and Definite Management.
Complex foot injuries occur infrequently, but are life-changing events. They often present with other injuries as the result of a high-energy trauma. After initial stabilization, early assessment should be regarding salvagability. All treatment strategies are intensive. The initial treatment includes prevention of progression ischemia/necrosis, prevention of infection, and considering salvage or amputation. Definitive treatment for salvage includes anatomic reconstruction with stable internal fixation and early soft tissue coverage followed by aggressive rehabilitation. Prognosis after complex injuries is hard to predict. The various stages of the treatment are reviewed and recommendations are made.
Trauma Unit, Academic Medical Center, University of Amsterdam, Meibergdreef 9, PO Box 22660, Amsterdam 1100 DD, The Netherlands. Electronic address: t.schepers@amc.nl.
Tim
T
Schepers
University Center for Orthopaedics and Traumatology, University Hospital Carl-Gustav Carus, Fetscherstrasse 74, Dresden 01307, Germany.
Stefan
S
Rammelt
D000671:Amputation, Surgical; D018450:Disease Progression; D000071938:Fasciotomy; D018409:Foot Injuries / Q000145:classification / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D016879:Salvage Therapy; D017695:Soft Tissue Injuries / Q000601:surgery*
Amputation; Complex foot; Outcome; Reconstruction