Staged reconstruction of the hallux for infected non-union using bulk autograft and a customized implant: Case report

This case report illustrates the outcome of a deep infection following internal fixation of a fracture of the big toe. Hallux amputation could be avoided through staged salvage procedure. This paper can assist readers on how to effectively and safely recognize and treat this type of injury. •This ca...

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Bibliographic Details
Published inFoot (Edinburgh, Scotland) Vol. 56; p. 102031
Main Authors Godoy-Santos, Alexandre Leme, Pires, Eduardo Araujo, Fonseca, Fabio Correa, de Cesar-Netto, Cesar, Auch, Elijah Christian, Rammelt, Stefan
Format Journal Article
LanguageEnglish
Published Elsevier Ltd 01.09.2023
Subjects
Block bone graft
Custom-specific implants
Hallux
Limb salvage
Osteomyelitis
Postoperative complication
Osteomyelitis
Limb salvage
Hallux
Postoperative complication
Custom-specific implants
Block bone graft
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Summary:This case report illustrates the outcome of a deep infection following internal fixation of a fracture of the big toe. Hallux amputation could be avoided through staged salvage procedure. This paper can assist readers on how to effectively and safely recognize and treat this type of injury. •This case report defines and exemplifies the staged salvage treatment for deep surgical site infection with osteonecrosis after failed hallux fixation.•The first stage focuses on damage control, with removal of all material and devitalized tissue, identification of the infectious agent and guided antibiotic therapy.•The second stage consists of bone reconstruction with block graft and stable fixation with a custom implant.
ISSN:0958-2592
1532-2963
DOI:10.1016/j.foot.2023.102031