The split-heel technique in the management of calcaneal osteomyelitis in children. Report of three cases.
Three cases are reported in which the split-heel technique was successfully used in the management of calcaneal osteomyelitis in children. Antibiotic therapy and debridement when necessary through medial or lateral incisions will usually eradicate the infection. Gaenslen's technique is recommended for refractory cases or patients with a draining sinus centrally located on the plantar aspect of the heel. An excellent functional result can be obtained. In general, excision of the calcaneus for chronic osteomyelitis in children is not necessary.
D000293:Adolescent; D002111:Calcaneus / Q000382:microbiology / Q000601:surgery*; D002648:Child; D003646:Debridement; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000382:microbiology / Q000601:surgery*; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification; D013291:Streptococcus / Q000302:isolation & purification