Doctors at KIMS hospitals have salvaged the foot and limb of a farmer by performing three kinds of surgeries recently.

The farmer who got multiple injuries due to a road accident, has a fracture in the long bone, foot crushed, arteries damaged badly. KIMS hospitals said in a release on 28 January. Usually, on such occasions, amputation of the leg is the only way for the doctors but in this case, Dr. Srinivas Kasha, Consultant Orthopaedic Surgeon at KIMS hospitals along with Vascular Surgeon and Plastic Surgeon have coordinated well, and performed three types of surgeries, and salvaged the patient’s foot and limb, the hospital claimed. Explaining the patient’s details to the media, Dr.Srinivas Kasha said the 47-year-old farmer , native of Madanapalli of Sangareddy district ( Telangana), came to the hospital with bleeding in the right foot after met with an accident, in which his leg was damaged badly.

Doctors in the emergency ward have tested him completely and identified that he has a fracture in the long bone of the right leg, arteries damaged, foot crushed and muscles damaged, arteries in the foot also damaged. Usually, in such cases delay will cause more loss, blood flow to the part is arrested and that part is permanently damaged. So, without any delay, experts from Orthopaedic, Plastic Surgery, and Vascular Surgery met, discussed thoroughly, and decided to salvage his leg, the surgeon said. Initially, the Orthopaedic and Vascular Surgeons have performed the surgeries.

Debridement with K- wire fixation for right 1st, 2nd, 3rd, and 4th metatarsal fractures was done. Debridement and knee and ankle bridging external fixation done for right proximal tibia fracture, Popliteal thrombectomy, and Fasciotomy of the right leg done under Spinal and Epidural anesthesia. Following the surgery, the farmer was under observation for the survival of the right leg. If the blood flow to the leg has not been restored, his leg has to be amputated.

No more plastic surgery would have been possible, but, as the doctors at KIMS hospitals have done all the surgeries with utmost expertise and experience, they were successful, the surgeon claimed. A delayed primary free flap was also done to cover the right foot defect by the plastic surgeon. For this, he has taken a piece of muscle from the thigh. There was a gap of one week between these surgeries. After 3 weeks he underwent external fixator removal and plating for the Right leg. Following the surgery, the patient was started on physiotherapy for knee bending and was made to walk with a walker, Dr Srinivas added.