Puncture Wounds of the
Foot and Leg
A puncture wound has a small entry hole caused by a pointed object. This is usually narrower and deeper than a scrape of a cut. Many people can get puncture wounds from household items or work projects, garden tools, or when operating machinery. Although most puncture wounds are minor and can be managed with home treatment, you must seek medical care immediately if
- It spurts blood
- It bleeds excessively
- Punctures into a joint
- Does not stop bleeding after 10 minutes even with firm pressure
- The puncture wound is deep or touching bone
- The object that caused the puncture cannot be easily removed
- The wound is visibly dirty
- The wound is caused by stepping on a nail or any sharp unclean object
- The wound is caused by a bite
- The wound looks infected
- Fever occurs
Immediate medical attention is important since about 10% of patients will develop soft tissue infection and 2% will develop bone infection. For patients with immune system problems, peripheral neuropathy, peripheral vascular disease, and diabetes, the visible signs of infection may manifest much later. Thus it is important to seek immediate medical treatment. Tetanus immunization history is important, especially in patients with diabetes.
Osteomyelitis or bone infection is the most severe complication secondary to a puncture wound. The outcome will depend on the location of the wound, severity of the injury, delay in treatment, the penetrating object, and the patient’s general medical condition.
There are also a variety of foreign objects that can become embedded in a puncture wound. Some of the most common are nails, glass, needles, and seashells.
If you get a puncture wound, clean it properly. See a foot and ankle surgeon for evaluation and treatment. If possible, do this within 24 hours after the injury.
Call your podiatrist to schedule an appointment as soon as possible.
For more information, you may contact Advanced Wound Healing Institute at (239) 430-3668 (FOOT). Advanced Wound Healing Institute is part of Family Foot and Leg Center, P.A.
- Faster recovery time
- Better results
- Improved long-term outlook
- Optimal quality of life
Our doctors are well trained from residency in conservative and advanced wound care options from simple debridement to advance grafting and flap techniques.
At the Advanced Wound Healing Institute, we specialize in the treatment of wounds that are difficult to heal. We offer the most current and advanced treatments in wound care.
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