Bàn chân thường xuyên tiếp xúc với chấn thương trực tiếp do vai trò của nó trong mang trọng. Các vết thương mô mềm phổ biến kết quả gây trở ngại đi lại do các biến chứng như hoại tử mô, hình thành sẹo, nhiễm trùng, và dị dạng. Năm loại phổ biến nhất của chấn thương bàn chân | Management of Traumatic Foot Wounds Thomas A. DeCoster MD and Richard A. Miller MD Abstract The foot is frequently exposed to direct trauma due to its role in weight-bearing. The soft-tissue wounds that commonly result interfere with ambulation due to complications such as tissue necrosis scar formation infection and deformity. The five most common categories of foot injury are 1 low-velocity blunt trauma 2 high-velocity blunt trauma 3 low-velocity penetrating trauma 4 high-velocity penetrating trauma and 5 thermal injuries. For major wounds the treatment is early aggressive debridement copious irrigation and skeletal stabilization with early coverage of skin defects. Local and systemic antibiotics are adjunctive to debridement to prevent infection. Prompt recognition and release of compartment syndrome of the foot are extremely important. Close observation is appropriate for wounds that appear minor on initial evaluation. J Am Acad Orthop Surg 1994 2 226-230 The practicing orthopaedist commonly treats a variety of injuries to the foot. These injuries can be due to events as disparate as being in a motor-vehicle wreck and stepping on a nail. The severity of such wounds is highly variable and can be very difficult to assess on initial evaluation. Some of these injuries can be incapacitating or can result in chronic impairment. The initial treatment is important in determining the long-term results. This review will outline our current recommendations for foot injuries in general and for specific examples of the five types of problems that can be encountered. The five types are 1 low-velocity blunt trauma . crush injuries 2 high-velocity blunt trauma . injuries from motorcycle wrecks 3 low-velocity penetrating trauma . nail-puncture wounds 4 high-velocity penetrating trauma . lawn mower injuries and 5 thermal injuries burns and frostbite . Similar wounds can occur from other mechanisms . gun shots but the principles of treatment for each type of wound
