RESUMO
Gunshot wounds to the foot and ankle can be a devastating injury. This article discusses the basic physics of ballistics and its unique role in open fracture treatment. Classification and treatment protocol are also discussed.
Assuntos
Traumatismos do Tornozelo , Traumatismos do Pé , Ferimentos por Arma de Fogo , Traumatismos do Tornozelo/diagnóstico , Traumatismos do Tornozelo/cirurgia , Armas de Fogo , Traumatismos do Pé/diagnóstico , Traumatismos do Pé/cirurgia , Fraturas Expostas/cirurgia , Humanos , Ferimentos por Arma de Fogo/diagnóstico , Ferimentos por Arma de Fogo/cirurgiaRESUMO
A retrospective study was performed on 33 patients who sustained isolated open-fracture injuries to the foot and ankle. A wide variety of open-fracture injuries of the foot and ankle are documented. Of the 33 cases, only 2 became clinically infected, translating into an infection rate of 6.06%. A literature review of open-fracture injuries is presented along with the preliminary results of the retrospective study.
Assuntos
Traumatismos do Pé/cirurgia , Fraturas Expostas/cirurgia , Traumatismos do Pé/classificação , Traumatismos do Pé/diagnóstico por imagem , Fixação Interna de Fraturas/métodos , Fraturas Expostas/classificação , Fraturas Expostas/diagnóstico por imagem , Humanos , Radiografia , Dedos do Pé/diagnóstico por imagem , Dedos do Pé/lesões , Dedos do Pé/cirurgiaRESUMO
A quantitative diagnostic technique is described for identifying contracture at the ankle joint in patients with equinus deformity, hence addressing the shortcoming of the conventional clinical diagnostic procedure. To gain a better understanding of how contracture contributes to equinus deformity, a study was designed that compared the torque about the ankle joint before and after administering a tibial nerve block to equinus patients and to a control group. Functional equinus, manifested by walking and early heel rise, is defined as inadequate dorsiflexion for normal gait. The ability to accurately identify an equinus condition, and contracture as the contributing factor in equinus deformity, has important implications for the type of treatment prescribed and the evaluation of treatment effectiveness.
