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Comprehensive Management of Delayed Pediatric Nail Puncture Injury Complicated by Severe Soft-Tissue Infection: The

Viktor Marku, Chrysa Andrikopoulou, Ioannis Fragkakis

    Chirurgia (Bucharest, Romania : 1990)
    |June 24, 2026
    PubMed

    Insights

    Pediatric puncture wounds with retained foreign bodies can lead to severe infections. Negative pressure wound therapy (NPWT) effectively managed a complex pediatric foot wound after surgical debridement.

    Area of Science:

    • Pediatric Surgery
    • Wound Management
    • Infectious Diseases

    Background:

    • Puncture wounds in children are often underestimated, especially with delayed presentation.
    • Retained foreign bodies significantly elevate risks of deep infection, abscess, septic arthritis, and osteomyelitis.

    Purpose of the Study:

    • To present a case study on managing a complex pediatric foot puncture wound.
    • To highlight the role of negative pressure wound therapy (NPWT) in conjunction with surgical debridement.

    Main Methods:

    • A 4-year-old child with a 10-day history of a complicated foot puncture wound was treated.
    • Surgical debridement, foreign body removal, and irrigation were performed.
    • Negative pressure wound therapy (NPWT), or VAC therapy, was applied using pediatric settings.

    Main Results:

    • The wound showed significant clinical improvement one month after NPWT discontinuation.
    • The defect healed with healthy granulation tissue, reducing depth and dimensions.
    • NPWT facilitated effective management of the complex pediatric wound.

    Conclusions:

    • Negative pressure wound therapy (NPWT) is effective in managing complex pediatric foot wounds post-debridement.
    • Prompt and comprehensive care is crucial for pediatric puncture wounds.
    • This case underscores the benefits of NPWT in pediatric wound healing.
    Abstract

    Keywords:
    puncture woundretained foreign bodysoft-tissue infectionnegative pressure wound therapy

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