Volume : X, Issue : IV, April - 2020

LIMB SALVAGE IN MINE BLAST INJURIES OF FOOT

Brigadier Surajit Basu, Sm, Dr Gurjot Singh

Abstract :

The mine blast injury of foot is extremely devastating both psychologically and physically for soldiers deployed in remote localities. The soldiers are mostly young. Management of mine blast injury of foot is extremely challenging and the decision whether to salvage the limb by foot reconstruction or do an amputation depends on consideration of several factors like the patient’s desire, part of foot involved i.e. weight beå vs non–weight beå area, satisfactory skeletal stabilization of foot and ankle, sensate and viable toes with intact vascularity, no injury to the Tibial or Common Peroneal nerves and no involvement of the contralateral leg. 15 soldiers with mine blast injuries of foot were managed in a forward military tertiary care centre between March 2006 and June 2008. 13 out of them underwent limb salvage by foot reconstruction. 04 cases were managed with cross–leg medial Gastrocnemius musculo–cutaneous flap, 02 cases with vacuum assisted closure followed by Distally based Superficial Sural artery flap , 02 cases with Distally based Superficial Sural artery flap, 04 cases with skin grafting and 01 patient with fillet flap from forefoot . All these patients made excellent functional recovery and were ambulant and pain free at the end of treatment. The remaining 02 patients were treated with below knee amputation as they had a mangled foot with vascular injury.

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Article: Download PDF    DOI : 10.36106/ijar  

Cite This Article:

LIMB SALVAGE IN MINE BLAST INJURIES OF FOOT, Brigadier Surajit Basu, SM, Dr Gurjot Singh INDIAN JOURNAL OF APPLIED RESEARCH : Volume-10 | Issue-4 | April-2020

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