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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
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