1. Case for small group discussion
Complex foot trauma
Case for small group discussion
AOTrauma—Foot & Ankle
Module 6: Soft-tissue trauma
Stefan Rammelt, DE

2. Case description 17-year-old man Suicide jump (6th floor)
Polytrauma (head, spine injury)
Deep open wound on the lateral aspect of the hindfoot (down to the calcaneus)

3. Crush injuries
Day 5
6 Months
Day 1

4. 6-month follow-up Stable soft-tissue coverage Plantigrade foot
Spontaneous fusion of subtalar joint

5. Take-home messages Initial treatment—damage control surgery
Primary debridement, percutaneous fixation
Secondary internal fixation
Early soft-tissue coverage
PMMA beads with antibiotics as temporary defect filler