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著者:Philip M. Buttaravoli and Kevin J. Brochu
 
Abstract
Puncture of the plantar aspect of the foot occurs commonly after stepping on a pointed object. This chapter addresses wound care as well as risk assessment depending on patient factors, the utility of prophylactic antibiotics, and the necessary follow-up.
 
Keywords
antibiotics
debridement
deep puncture wounds
delayed foot pain
delayed osteomyelitis
early presenters
highly contaminated puncture wounds
irrigation
late presenters
nail puncture
plantar puncture
Puncture wound
puncture wound of foot
recurrent infection
retained foreign bodies
rubber soled shoes
saucerize
stepping on nail

Presentation  
    Puncture wounds are common injuries, especially in children during the summer months when protective footwear may not be worn. The risk of a puncture wound is disproportional to its size, as irrigation is difficult and the tract of the wound is prone to creating an anaerobic environment. As such, patients either present early after the injury or delayed due to the development of infection.
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