[Faline]

Introduction: A gunshot injury can cause extended soft-tissue injury and traumatic contamination leading to infection. The aim of the Pirogoff amputation is to eliminate infection and remove as little of the extremity as possible. This will result in a functional stump with tissues capable of tolerating weight-bearing stress.

Case report: We present a case of a 73-year-old male with extended soft-tissue injury of the left foot and multiple pellets in the surrounding tissues after shotgun injury. Aside from arterial hypertension and non-insulin-dependent diabetes mellitus, the patient suffered from obesity and peripheral peroneal paresis after thromboembolectomy in 1997. Systemic and local examination showed no neurological or vascular compromise to the foot. Radiographs revealed comminuted fractures of the talus, navicular and medial cuneiform. A Priogoff amputation was chosen as the amputation of choice.

Conclusion: When higher amputation of the foot is necessary, Pirogoff´s amputation is a useful procedure and offers satisfying results in patients without vascular defects. This amputation preserves more of the limb than a below-the-knee amputation and appears more functional and resilient than a Syme’s amputation. It also provides a lesser degree of limb length discrepancy than the Syme’s amputation.

[Pyramid_Head]

Really thought that the shotty would have blown the whole foot off.

[Oswald2001]

Originally Posted by Pyramid_Head ↗

Really thought that the shotty would have blown the whole foot off.

It depends on size/amount of pellets or slug, amount of powder in shell, distance from target, bore of barrel, angle, point of impact, size of target, etc.

A lot of people get ideas from movies where shotguns blow off body parts and/or people across rooms with apparent 'ease'.

Real life is different.

[**butterflylove**]