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Prevenga las infecciones durante el embarazo
Open transmetatarsal amputations are very powerful, it gives you full exposure and incisions along the course of infection can be performed, such as this case where it needed an incision going towards the arch. I preserve the periosteum and interosseous muscles as best as I can so it can be used for closure and add bulk to the weight bearing surface. You can see how they are already granulating around the stumps on postop day 3 demonstrating a clean healthy wound ready to be closed. I usually close bone using whatever is available plantar plate, periosteum, interosseous muscled with vicryl followed by vicryl for subq, which holds better than monocryl. That way when when these wounds dehisce, we have two layers of tissue covering bone.
Pomada Antibiotica Liade is a medicine available in a number of countries worldwide. Cada gramo de pomada contiene 20 mg de mupirocina. La dosis inyectable puede ser colocada en un hospital o en el hogar. El principio activo es mupirocina.