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Showing posts with the label foot salvage

Sural flap for medial ankle avulsion injury

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healed flap healed flap healed flap pre op wound post op healed flap post op healed flap 10 year old boy had a accident which resulted in total loss of medial side soft tissue. Resultant defect was managed with sural flap. Which healed nicely. Dr Adhishwar Sharma 8860650846 adhishwar7@gmail.com

Line mans foot

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initial wound  Exposed bones Entire wound gracillis muscle with pedicle muscle with skin graft skin grafted wound healing wound 3 years post op patient back to his job                                  3 years post op patient is having ankle stiffness due to ankle injury A 48 year old male belonging to palwal district working in faridabad district electricity department suffered a crush injury foot following a motorcycle accident. He suffered extensive fractures of foot and ankle. He lost second toe along all the soft tissue and tendons. 2 and 3 metacarpal were exposed and fractured. Management Initial wound debridement was done and external fixator was placed .Once after all dead tissue was gone decision to do flap surgery was taken. Gracilis free flap was done to cover the wound ,flap vessel were connected to anterior ...

Deshraj and Bus

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Deshraj was a factory worker in Gurgaon. He belonged to a near by village situated in district of rewari. He was a ITI pass out who come to gurgaon in search of job 20 years back. Working in factory he has steadily progressed from worker to supervisor . His children were grown up and they settled in and near gurgaon. His wife use to stay with his parents in village,he use to come to his village in off time and weekends.  It was a hot summer day in month of may 2017, he was boarding a bus for Gurgaon on a near by highway to jaipur from delhi. He was talking to his wife while climbing on bus , bus driver in perpetual hurry released clutch to march bus. Deshraj foot slipped from foot board it was run over from left front wheel of bus. He was taken to a near by hospital , his family took him to ESI hospital Guurgaon. Given conditions and attitude in government hospital, his family decided to take refuge in private healthcare. His family chose FMRI Gurgaon , he was admitted under care...

policeman and foot

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Rajesh kumar 34 , a constable in haryana police was on duty in sept 24, 2015. While riding a motorcycle he met with a accident , he was brought to our hospital and admitted. He had a heel injury in which whole heel tissues were lost due to injury. He was taken for surgery and debridement was done heel skin getting black patient was planned for definative surgery during which microvascular gracillis flap was done. On post operative day 5 skin grafting of flap done and patient was discharged on post operative day 7. post op dressing continued for around three weeks during which all wounds healed. After one he was allowed walking and weight bearing. After two months of injury he joined duty as policemen Timely surgery and micro vascular surgery can rehabilitate any individual to a productive life. All photos with consent Dr Adhishwar Sharma 8860650846 ,adhishwar7@gmail.com