High pressure injection injury of the foot: a role of negative pressure wound therapy.

Marinovic, Marin; Bakota, Bore; Spanjol, Josip; Sosa, Ivan; Grzalja, Nikola; Gulan, Gordan; Ivancic, Aldo; Cicvaric, Tedi · Injury · 2013

case_report · Level V

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Abstract

High pressure injection injuries (HPII) of the foot are not common in every-day practice. We present a 50-year-old patient with a HPII of the left foot caused by water-gun in a self-inflicted accident working as a technical diver four meters under the sea surface. Surgical treatment included extensive debridement of necrotic tissue and fibrin deposits and removal of foreign material. A negative pressure wound therapy (NPWT) device was applied resulting in a good wound base for subsequent skin grafting leading to a good functional and cosmetic outcome.

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