{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T13:17:23Z","timestamp":1783430243749,"version":"3.54.6"},"reference-count":32,"publisher":"MDPI AG","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAPMA"],"published-print":{"date-parts":[[2006,3]]},"abstract":"<jats:p>We describe a 70-year-old nonimmunocompromised woman with spontaneous bilateral ankle and midfoot sepsis and a deep-space abscess of the right lower leg. Salvage of both limbs was achieved by aggressive bilateral soft-tissue and osseous debridement, including a four-compartment fasciotomy of the right lower leg, antibiotic-loaded polymethyl methacrylate bone cement implantation, delayed allogeneic bone grafting of the osseous defects impregnated with autologous platelet-rich plasma bilaterally, and external fixation immobilization, implantable bone growth stimulation, and split-thickness skin graft coverage of the right lower leg, ankle, and foot. Osseous incorporation of the bone grafts bilaterally occurred 8 weeks after surgery. No soft-tissue or osseous complications occurred during the postoperative period or at 18-month follow-up except for arthrofibrosis in the right ankle; there was no evidence of recurrent abscesses, sequestrum, or wound-related problems. A review of the literature regarding bilateral pedal sepsis and the techniques used for limb salvage in this patient are presented in detail. (J Am Podiatr Med Assoc 96(2): 139\u2013147, 2006)<\/jats:p>","DOI":"10.7547\/0960139","type":"journal-article","created":{"date-parts":[[2014,4,1]],"date-time":"2014-04-01T10:24:42Z","timestamp":1396347882000},"page":"139-147","source":"Crossref","is-referenced-by-count":0,"title":["Spontaneous Bilateral Ankle and Midfoot Sepsis in a Nonimmunocompromised Patient"],"prefix":"10.3390","volume":"96","author":[{"given":"Thomas S.","family":"Roukis","sequence":"first","affiliation":[{"name":"Weil Foot and Ankle Institute, Des Plaines, IL. Dr. Roukis is now with Madigan Army Medical Center, Tacoma, WA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey R.","family":"Baker","sequence":"additional","affiliation":[{"name":"Weil Foot and Ankle Institute, Des Plaines, IL. Dr. Roukis is now with Madigan Army Medical Center, Tacoma, WA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Breck","family":"Tiernan","sequence":"additional","affiliation":[{"name":"Des Moines University College of Podiatric Medicine and Surgery, Des Moines, IA. 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