About Dr. Marc Katz Expertise All medical and surgical problems of the foot and ankle.
Specializing in Pain Management of the Foot & Ankle using Advanced Cryosurgical techniques. Also woundcare and limb salvage.
Experience I am a Podiatrist in private practice for 17 years in Tampa Florida
Organizations
American Board of Podiatric Surgery
Fellow, American College of Foot and Ankle Surgeons,
American Podiatric Medical Association,
Florida Podiatric Medical Association,
American Professional Wound Care Association,
Cryostar certified in Foot Cryosurgery
Publications
http://ezinearticles.com/?Understanding-Heel-Pain-and-Treatment-Options&id=270285
http://ezinearticles.com/?New-Relief-for-Foot-Pain-Due-to-Diabetic-Neuropathy&id=438090
http://ezinearticles.com/?Permanent-Relief-for-Ingrown-Toenails&id=387593
http://ezinearticles.com/?Foot-Cryosurgery-for-Plantar-Fasciitis,-Heel-Pain,-Mortons-Neuroma-and-Neuropathy&id=261571
Education/Credentials
I am a board-certified Doctor of Podiatric Medicine (DPM) and a certified Foot Cryosurgeon
Question My father was holding a car tow up for my brother to drive a car onto it. When the car drove up, it became too heavy & fell on my dad's foot. He was wearing flipflops. He then drove 9 hours with it continuing to bleed. We got him to go to the ER the following morning. The x-rays showed that the entire bone in his big toe was crushed. He also has a stress fracture in the top of his foot. His foot continues to bleed and he thinks that a piece of the crushed bone poked through his skin on the underside of the toe b/c there is a hole there.
They could not doing anything there (it was a smaller VA hospital) & referred him to the larger one in Pittsburgh for three days later.
We are wondering what can possibly be done to correct this. They had mentioned that it may need to be amputated. Is this a high risk?
Thank You!!!
Answer Hi Marie,
This is considered a serious fracture with bone sticking out or protruding from a hole. This is considered an open fracture and places the area high risk for infection. With or without the bone protruding, a crush injury can easily end up in amputation due to the severe trauma to the area.
However, an attempt should certainly be made to save the toe. The best option would be to get to a Wound Healing Center and see if they have a hyperbaric oxygen chamber. Antibiotics are often important. The foot should be immobilized to decrease movement and additional trauma. I would recommend that he not put pressure on the foot. Either use crutches or a wheel chair.
I would see a Podiatrist that deals with trauma and wounds. Certainly seek several opinions.
Amputation is possible but there is certainly good reason to do anything possible before considering this option. See a bunch of centers below.
PENNSYLVANIA
Wound Healing Center
Divine Providence Hospital
1100 Grampian Blvd.4th Floor
Williamsport, PA 17701
570-326-8550 http://www.shscares.org/
Center for Wound Healing
Indiana Regional Medical Center
119 Professional Center, Suite 201
1265 Wayne Ave.
Indiana, PA 15701
724-357-8127 http://www.indianahospital.org/
Wound Healing Center
J.C. Blair Memorial Hospital
1225 Warm Springs Avenue
Huntingdon, PA 16652
814-643-8367 http://www.jcblair.org/
Jefferson Regional Medical Center Wound Care Center
575 Coal Valley Road, Suite 207
South Hills Medical Building
Jefferson Hills, PA 15025
(412) 469-7676
Visit Our Partner's Web Site
Pittsburgh's Ohio Valley General Hospital Wound Care Center
500 Pine Hollow Road
Mckees Rocks, PA 15136
(412) 250-2600
Visit Our Partner's Web Site
Mercy Special Care Hospital Wound Care Center
128 W. Washington Street
Nanticoke, PA 18634
(570) 740-5280
Northeast Wound Care Center - Graduate Hospital
9600 Roosevelt Blvd.
Philadelphia, PA 19115
(215) 969-5122
Graduate Hospital Wound Care Center
1740 South Street, Suite 200
Philadelphia, PA 19146
(215) 893-7656
Mercy Wound Care Center and Hyperbaric Medical Services
General Services Building
743 Jefferson Ave.
Scranton, PA 18510
Phone: (570) 340- 5824
Fax: (570) 340-5844
The Chester County Hospital Wound Care Center
Fern Hill Campus, 915 Old Fern Hill Rd., Ste. 4
West Chester, PA 19380
(610) 738-2590
Visit Our Partner's Web Site
Hope that helps. If you need more help, please send me another note. Good Luck
Sincerely,
Marc Katz, DPM
Tampa, FL
Advanced Podiatry
www.thetampapodiatrist.com
www.tampacryosurgery.com
www.fix-my-foot.com
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