MEDICAL SYNOPSIS OF
W. C. G.
REQUESTED BY M.Y. G.
By C.W. de Boisblanc
Health Information Search Inc.
28123.SYN; February 23, 2008
Your son was a 34 YO male diabetic when he presented for Achilles repair at the Scoggins Regional Medical Center on June 11, 2007. Prior to surgery, 1 gm Ancef was administered. The surgery was a resection of a 3 ½ to 4 cm length of devitalized tendon and a VY lengthening was done. A splint was applied at a position about 10-15 degrees plantar flexion that would be stretched out later.
Following surgery by Dr. Name Withheld , postoperative care proceeded essentially in two week intervals until July 22 when it was noted that there were wounds on the posterior heel and anterior ankle which were débrided. Then on 7/26 Dr. Name Witheld noted that these wounds were secondary to split pressure. His care was continued by Dr. Other Withheld on August 9, 2007 and on August 19 th, antibiotics were ordered due to the presence of pus and a foul smelling odor. and thereafter until discharge. The last office note on October 3, 2002 indicates that the wounds are not completely healed.
The pressure wound that developed postoperatively would not necessarily be attributed to the splint having been applied incorrectly. Because diabetics are especially subject to both the development of pressure sores and delays in wound healing, complications such as that described, while not to be accepted as normal, nevertheless they can be expected. The delay in a request to see the doctor may be a negligent act but there is not any documentation, nor evidence, that a few days delay could have added to the recovery time.
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