Pirogoff Amputation in Forefoot and Midfoot Crush Injury as Staged Procedure: A Case Report

Volume 8 | Issue 1 | Jan – Feb 2020 | Page: 27-29  | Aradhana T Rathod, Preetham Nagaraj, Suresh Kumar G

Authors: Aradhana T Rathod [1], Preetham Nagaraj [1], Suresh Kumar G [1]

[1] Department of Orthopaedics, Bangalore Medical College and Research Institute Bangalore, Karnataka, INDIA

Address of Correspondence
Dr. Aradhana T Rathod,
Bangalore Medical College and Research Institute Bangalore, Karnataka, INDIA.


We present a case of crush injury of fore foot and mid foot due to run over by four-wheeler in a road traffic accident in a 63-year-old male patient. During the third sitting, Pirogoff amputation was performed using cannulated cancellous screws for tibiocalcaneal fusion. The wound had marginal necrosis on the 6thday and skin loss; hence, skin graft was planned, which was carried out on the 21st post-operative day. Follow-up visit at 6months shows minimal loss of limb length and satisfactory functional results in gait. He did not require any walking aid to walk for shorter distance. At 1-year follow-up visit, the patient developed discharging sinus and lysis around the screw site; hence, implant removal was done. Wound healing was delayed up to 4 weeks. The patient was put on weight relieving calipers till then. After the wound healed, the patient was asked to bear weight. It can be considered as the treatment of choice for foot injuries where forefoot and midfoot cannot be reconstructed. Delayed presentation with implant loosening should be considered.
Keywords: Cannulated cancellous screws, Crush injury, Tibiocalcaneal fusion, Skin graft.


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How to Cite this article: Aradhana T Rathod, Nagaraj P, Suresh Kumar G | Pirogoff Amputation in Forefoot and Midfoot Crush Injury as Staged Procedure: A Case Report.| Journal Of Karnataka Orthopaedic Association | Jan-Feb 2020; 8(1): 27-29

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