Modified "SALSAstand" fixation/offloading for TMAs and fragile flaps





Many clinicians have offered means of offloading the posterior diabetic foot both with and without internal fixation. We offer a modification of a post technique described by Saul Trevino, where we reinforce the posts with a posterior distal to proximal anterior hypotenuse using the Hoffmann II device in a patient with end stage renal disease and a gangrenous forefoot who was corrected out of an equinovarus position with an Achilles tendon lenghtening and external fixation. We believe that this aggressive stabilization and protection of the rotational TMA flap may be helpful in these very compromised patients.

David G. Armstrong

Dedicated to amputation prevention, wound healing, diabetic foot, biotechnology and the intersection between medical devices and consumer electronics.

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