Emergency

Pirogoff’s Amputation after Shotgun Injury

Sunday, 22 May 2011 12:22
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Introduction: A gunshot injury can cause extended soft-tissue injury and traumatic contamination leading to infection. The aim of the Pirogoff amputation is to eliminate infection and remove as little of the extremity as possible. This will result in a functional stump with tissues capable of tolerating weight-bearing stress.

Case report: We present a case of a 73-year-old male with extended soft-tissue injury of the left foot and multiple pellets in the surrounding tissues after shotgun injury. Aside from arterial hypertension and non-insulin-dependent diabetes mellitus, the patient suffered from obesity and peripheral peroneal paresis after thromboembolectomy in 1997. Systemic and local examination showed no neurological or vascular compromise to the foot. Radiographs revealed comminuted fractures of the talus, navicular and medial cuneiform. A Priogoff amputation was chosen as the amputation of choice.

Last Updated on Sunday, 22 May 2011 12:43