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

2. Case description
30-year-old man, motorcycle accident

3. Avoid equinus: tendon balancing

4. With flection contracture: additional fusion

5. Take-home messages Criteria for acute amputation:
Dangerous (threatening infection)
Dead (severe circulatory compromise)
Denervated (useless, floppy, complete loss of sensation)
Dysfunctional (loss of muscles and tendons)
Loss of plantar tissue (irreplaceable)

6. Take-home messages Amputation is reconstructive surgery
Amputation is not a failure of treatment
Early decision making and communication are essential
Tendon balancing is important for amputations distal to the ankle
Rammelt S, Olbrich A, Zwipp H. Hindfoot amputations. Operative Orthopadie und Traumatologie. 2011;23(4):