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18-CLI-2210 CS Interfyl Pdf Dwnlds A

Removal of failed hardware with excisional tissue transfer closure

Background: Failed hardware on left 1st metatarsal medially

Initial treatment:

  • Antibiotic ointment
  • Autolytic debridement using silver hydrogel and collagen 3 weeks pre-intervention
  • Offload in removable walking cast with customized multidensity insert

Studies: 

  • Negative Cx (cultures)
  • Vascular status: adequate perfusion
  • Diagnostic imaging: possibly osteomyelitis and abscess
  • Partially amputated 1st metatarsal with remodeled distal aspect

18-CLI-2210 CS Interfyl Pdf Dwnlds A

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