I noticed her second toe dorsiflexing during rounds. Exam revealed puncture wound and no FDL function. Two days later, I removed the pack and did a secondary skin closure with three wide simple sutures. Checking BKA stump for flexibility. Nurses had bandaged in flexion.
Knee needs to be straight to fit prothesis and function properly.
Midfoot amputation will allow patient to walk without the need for a below-knee amputation with prosthesis. Axillary puncture wound lacerated brachial plexus. Now he has a paralyzed hand. This is a young female victim of the tsunami presenting with an old compound fracture of the fibula. She just came in to Wewak Hospital overnight, being almost four weeks post-injury.