[Therapy of a gunshot fracture to the midfoot]

Unfallchirurg. 2017 Jan;120(1):76-80. doi: 10.1007/s00113-016-0223-z.
[Article in German]

Abstract

We report on a soldier with a gunshot wound to the midfoot. The diaphysis of MT 5 was pounded to pieces and there was a fracture in the diaphysis of MT 4. After debridement and fixation of MT 4 and MT 5 to MT 2 and 3 via two Kirschner wires we conducted a second look procedure with reconstruction of MT 5 via a piece of iliac crest. After eight weeks of unloading and removal of the last wire we started to put successively heavier weight on the foot.

Keywords: Gunshot fracture; Iliac crest bone grafting; K-wire fixation; Midfoot injury; Surgical treatment.

Publication types

  • Case Reports

MeSH terms

  • Bone Transplantation / methods*
  • Bone Wires*
  • Combined Modality Therapy / instrumentation
  • Combined Modality Therapy / methods
  • Foot Injuries / diagnosis
  • Foot Injuries / therapy*
  • Fracture Fixation, Internal / instrumentation*
  • Fracture Fixation, Internal / methods
  • Fractures, Bone / diagnosis
  • Fractures, Bone / therapy*
  • Germany
  • Humans
  • Ilium / transplantation
  • Male
  • Military Personnel
  • Treatment Outcome
  • Wounds, Gunshot / diagnosis
  • Wounds, Gunshot / therapy*
  • Young Adult