BCarlos Sánchez Fernández de la Vega*

Fingoi Centre/Primary Care-Galego Health Service, Lugo, Spain

*Corresponding Author: Carlos Sánchez Fernández de la Vega, Fingoi Centre/Primary Care-Galego Health Service, Lugo, Spain.

Received: October 25, 2023; Published: December 22, 2023

Abstract

This clinical case describes a complication in the removal of osteosynthesis material, implanted for a bimalleolar fracture of the right ankle. The importance of the case lies, in the therapeutic options indicated by the trauma and infectious diseases services, while hospitalised: Amputating his foot was the safest and best option, and although he initially accepted it, he later refused to go along with it, taking the risk himself. He decided to continue with the pharmacological treatment, as well as other therapeutic measures.
Months later, the patient started another treatment at our clinic. He was treated with a compression bandage and focused pressure on the wound bed. A technique that applies pressure to the wound, using only bandages and gauze. The result was incredibly good. He came in a wheelchair to have his ankle treated, and after compression therapy, he started using crutches, then walking sticks and later he was able to walk on his own. The patient was under our care for 2.5 years, then under the care of his general practitioner and other hospital specialists (traumatologist and internal medicine). During this time, he only came to our office for radiological monitoring, when we ordered it.
I have used this case to explain, based on pathophysiology, the clinical improvement in patients with congestive heart failure (NYHA I, II and III), when we applied compression bandages to them. I think physiological secretion of natriuretic peptides is the key.

Keywords: C Peptide; Wound Non-Healing; Focalized Compression

References

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Citation

Citation: Carlos Sánchez Fernández de la Vega. “Was Amputating the Foot the Best Therapeutic Option? Double Focal Compression Bandaging Technique". Acta Scientific Clinical Case Reports 5.1 (2024): 45-50.

Copyright

Copyright: © 2024 Carlos Sánchez Fernández de la Vega. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.