Abstract
Reports of ballistic injures to the extremities typically include those involving
gunshot wounds. However, high-pressure washer injuries frequently lead to equally
damaging injuries. These injuries should not be overlooked, because they can result
in high morbidity and complication rates. Similar to the open fracture protocol, these
injuries require prompt debridement and irrigation with administration of antibiotics
to avoid limb loss. The present case report identified a delay in the treatment protocol
that left limited options for the patient. However, the patient agreed to undergo
staged reconstruction consisting of serial debridement, implantation of a polymethylmethacrylate
antibiotic spacer, and eventual interpositional iliac crest arthrodesis of the midfoot.
At a follow-up point >5 years from the initial injury, the patient was walking with
minimal pain and no limitations in his daily activities.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: August 11, 2017
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2017 by the American College of Foot and Ankle Surgeons. All rights reserved.
