I have a nice surprise for you after a mini-hiatus from blogging. I've completed my move from Michigan to California after coming back from an amazing trip to Japan to celebrate a new chapter of this wonderful adventure we call life. I will be starting my new practice next Monday. More info to follow. But the real surprise is this broken big toe (graphic picture warning) that presented as a bloody mess. It happened as this young patient was moving large furniture around the house and a giant mirror fell on his foot while he was barefoot. Oh boy I feel his pain! (Ever stub your toe on furniture? Multiply that by a thousand.)
Often times broken toes do not need surgery but when it is this extensive with a loose nail and blood everywhere, this qualifies it as a contaminated/dirty open fracture and requires surgery to further inspect it under anesthesia and a thorough wash out. The patient did well and healed as expected.
What the patient can expect about the toenail is the following:
- the nail may never grow back but the skin will heal
- the nail may grow back partially or fully abnormal (grows back loose, irregular, thickened, etc)
- or the nail may grow back normally
Only time will tell but he is expected to return to normal activities once healed.