Authors: Ren Yi Kow, Akmal Azim Ahmad Alwi, Aziah Abdul Aziz, Muhammad Firdaus Abas, Chooi Leng Low.
ABSTRACT
The human foot serves as an important part to support the body weight and accounts for the majority of our movements. A mangled limb involves injury to at least three out of four systems, namely the soft tissues, nerves, blood supply and bone. While amputation is indicated in some cases of mangled limb, with proper planning, limb salvaging surgical management is also a viable option. Special consideration to the skeletal stabilization, control
of infection, vascular status and soft tissue coverage is paramount to the success of limb salvaging surgery. We present a case of mangled limb which was successfully treated with limb salvaging surgical management. Initial debridement, Kirschner wires insertion and cross ankle external fixation were used for skeletal stabilization. An antibiotic spacer was inserted for local antibiotic and to maintain the length left due to the loss of medial and intermediate cuneiform bones. The anterior tibialis artery and its venae comitantes were utilized for free vascularized fibular graft to provide bony reconstruction as well as soft tissue coverage for the mangled foot.
Citation: IeJSME 2018 12(2): 30-33
