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Saturday, August 21, 2010
CRUSH INJURY FOOT
Crush injuries of the foot are serious and can be difficult to manage. These complex injuries often involve soft tissue and osseous structures. Potentially devastating complications and long term sequelae can occur if these injuries are underestimated or mismanaged.1 Compartment syndrome is a serious complication that can occur with these types of injuries. Due to the high morbidity associated with crush injuries, prompt and meticulous care is essential.2Omer and Pomerantz reported 50 percent of their patients who sustained crush injuries of the foot had residual pain or required assisted ambulation.3 Myerson, et. al., reported that 25 percent of their patients treated for crush injuries to the foot had poor results.2 When managing crush injuries, one must emphasize early recognition and treatment of compartment syndrome , early soft tissue coverage, and fracture stabilization
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