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Related Experiment Video

Updated: Dec 18, 2025

High-Resolution Three-Dimensional Imaging of the Footpad Vasculature in a Murine Hindlimb Gangrene Model
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Limb Salvage for a Mangled Foot: A Case Report.

Takahiro Oda1, Keisuke Oe1, Atsushi Sakurai2

  • 1Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan.

Journal of Orthopaedic Case Reports
|June 18, 2020
PubMed
Summary

Limb salvage is a viable option for severe mangled foot injuries. Early, multidisciplinary surgical management ensures successful outcomes in complex trauma cases.

Keywords:
Mangled footlimb salvagesoft tissue injury

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Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery
  • Plastic Surgery

Background:

  • Controversy exists regarding the optimal treatment for mangled foot injuries, with no clear guidelines for limb salvage versus amputation.
  • This case report addresses the management of a severe mangled foot resulting from a high-energy crush injury.

Observation:

  • A 30-year-old male sustained a severe open foot, ankle, and bilateral tibial shaft fractures in a motor vehicle accident.
  • Vascularity was preserved via the posterior tibial artery, and the tibial nerve remained intact.
  • Initial management included Kirschner wire stabilization and early soft tissue coverage by plastic surgeons.

Findings:

  • The patient underwent staged surgical reconstruction, including autologous bone grafting using the Masquelet technique 12 weeks post-flap.
  • Full weight-bearing was achieved four months after definitive fixation.
  • The patient demonstrated independent ambulation without pain and reported high satisfaction.

Implications:

  • Successful limb salvage is achievable in severely mangled foot cases.
  • Multidisciplinary collaboration between orthopedic and plastic surgery teams is crucial for optimal bone alignment and soft tissue reconstruction.
  • Early and comprehensive surgical intervention can lead to favorable functional recovery and patient satisfaction in complex foot trauma.