A new management strategy for puncture wounds of the foot. A case report.

Foot (Edinb)

Hamad Medical Corporation, Bin Omran, El-Rayyan Rd, PO Box 3050, Doha, Qatar. Chaarani

Published: December 2010

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.

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Source
http://dx.doi.org/10.1016/j.foot.2010.03.004DOI Listing

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