Subtotal calcanectomy for osteomyelitis of the os calcis: a reasonable alternative to free tissue transfer.
Composite wounds of the heel with secondary secondary osteomyelitis of the calcaneus remain a reconstructive challenge. A paucity of regional flaps has often necessitated microvascular transplantation in order to obtain wound healing. Subtotal calcanectomy, traditionally a technique of the orthopedic surgeon, can, in selected cases, eradicate infection and achieve wound closure and limb preservation. A review was undertaken of one hospital's experience with this procedure over a 4-year period. Five patients with osteomyelitis of the os calcis were identified who were successfully managed with subtotal calcanectomy.
Isenberg
J S
JS
Division of Plastic and Reconstructive Surgery, LAC + USC Medical Center, USA.
Costigan
W M
WM
Thordarson
D B
DB
D000328:Adult; D000368:Aged; D002111:Calcaneus / Q000601:surgery*; D017719:Diabetic Foot / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D016523:Foot Ulcer / Q000601:surgery; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000601:surgery*; D010348:Patient Care Team; D003668:Pressure Ulcer / Q000601:surgery; D012189:Retrospective Studies; D013524:Surgical Flaps; D014946:Wound Infection / Q000601:surgery