title: [Surgical approach to a leg ulcer in areas of subcutaneous calcinosis].
abstract: The medical treatment of ulceration of the legs in areas with a subcutaneous plaque of calcinosis is often unsuccessful. The phlebologists then refer the patient to a surgeon. A patient aged 58 years, with a previous history of phlebitis, presented on two successive occasions with ulceration in the area of a large calcification in the lower third of the left leg. Cicatrization was obtained by a surgical treatment. Such surgery must be preceded by local and complete vascular assessment and by appropriate pre-operative care. It consists mainly of ablation of bone sequestration in order to obtain a suitable surface on which to apply thin skin graft in strips. It is often necessary to carry out an internal saphenous crossectomy as well to treat an  associated venous insufficiency.
mesh_terms: D000368:Aged; D002114:Calcinosis / Q000150:complications*; D006801:Humans; D007871:Leg Ulcer / Q000150:complications / Q000601:surgery*; D010689:Phlebitis / Q000150:complications; D012501:Saphenous Vein; D013927:Thrombosis / Q000150:complications
vernacular_title: L'abord chirurgical d'une ulcération de jambe sur calcinose sous-cutanée