Calcaneal fractures, often the result of high-energy trauma such as falls from heights or automobile accidents, have an intricate anatomy that makes diagnosis and treatment difficult. Finding an effective technique to close skin lesions is a challenge for the surgeon community today. The Figueiredo technique offers an innovative and accessible approach to treating these conditions. By using the lesion cover with polypropylene prosthesis to protect surgical wounds, this methodology aims to create an environment conducive to healing while minimizing the risk of infection and complications. This low-cost procedure represents an alternative to conventional methods, paving the way for a faster and more effective recovery of patients. The case report is of a male patient, 60 years old, with no personal history of chronic diseases or relevant comorbidities, who goes to the emergency department for a motorcycle accident, presenting direct high energy trauma in the distal portion of the lower limb with extensive involvement of the limb, associated with significant postero-inferior displacement and exposure of the bone fragment, plus massive loss of substance in surrounding soft tissues greater than 10 centimeters in diameter. Following initial assessment and stabilization of the patient in the emergency room, his admission was planned with indication of transtibial amputation due to signs of suffering of soft parts (tissue damage), bone exposure and contamination at the site of the injury. However, once in the operating room, it was decided to modify the patient’s surgical plan, opting for the Figueiredo technique, being a conservative strategy with good potential for healing, prioritizing preserving the limb and the functionality of the member, given the general good condition of the patient, the considerable viability of surrounding tissues and appropriate vascular perfusion despite the degree of involvement and indication of amputation. Surgical cleansing is performed with thorough washing of the affected site with 9 liters of saline serum at 0.9%, extensive debridement of necrotic tissues, reduction and stabilization of the fracture by means of fixation with Kirschner threads. Subsequently, the affected part is covered with temporary polypropylene prosthesis, using the Figueiredo technique. The results obtained indicate that the Figueiredo technique, when well performed, with injury favorable to the technique, satisfactory performance of the application of the technique, and follow-up after surgery, was extremely effective, It is a more cost-effective technique for the patient and the hospital, and is also more likely to recover its specific tissue from the site of the injury.
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