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A simple and noninvasive technique using Bohlers stirrup facilitating management of posterior soft tissue injuries of heel

*, Nikil Jayasheelan and Kamath, Jagannath B and *, Premjit Sujir (2014) A simple and noninvasive technique using Bohlers stirrup facilitating management of posterior soft tissue injuries of heel. Medical Journal of Dr. D.Y. Patil University, 7 (5). pp. 608-611. ISSN 0975-2870

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Abstract

ntroduction: Many techniques have been devised to solve the problems associated with posterior soft tissue injuries. A noninvasive technique with plaster of Paris cast mold has been described by Ravishankar. Plaster casting techniques have been associated with problems such as tight cast and cast damage. Invasive techniques using external fixators as described by Berkowitz and Kim using tubular fixators like "kick back stand" and by Kamath using ring Illizarov fixators. The external fixators have their own problems like maintaining them for weeks and pin tract infection. Materials and Methods: We have tried to achieve as noninvasive technique using a Bohler stirrup incorporated with slab for patients with only soft tissue in injury and in a fixator for patients with skeletal injury already on tubular fixators. Results: In all the 12 cases where this method was used, the authors achieved the purpose of protecting the split skin graft in four cases and flap in eight cases. We did not encounter any problems related to this method such as skin maceration, sores including loosening of the frame. Conclusion: It is a simple and noninvasive method, which can be easily and reliably performed to maintain adequate limb elevation and soft tissue protection, which can be done is any hospital setup.

Item Type: Article
Uncontrolled Keywords: Bohler′s stirrup, heel flap, noninvasive, posterior soft tissue
Subjects: Medicine > KMC Mangalore > Surgery
Depositing User: KMCMLR User
Date Deposited: 12 Aug 2015 06:47
Last Modified: 12 Aug 2015 06:47
URI: http://eprints.manipal.edu/id/eprint/143839

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