A technique to preserve the shape of the calcaneus after massive osteomyelitis.
Osteomyelitis of the os calcis challenges the reconstructive surgeon. We present the case of a patient in which massive medullary osteomyelitis of the calcaneus was treated with a technique that preserves the bone shape. The medullary cavity of the bone was first emptied, preserving the cortical shell. Then a free muscle flap was used to fill up the dead space. Three months later autologous bone grafts were packed into the cavity. Full weight-bearing was commenced 4 months after this procedure. In the latest follow-up, 2 1/2 years, the patient has had no recurrence or difficulty with walking.
del Piñal
F
F
Herrero
F
F
Cruz
A
A
D000328:Adult; D016025:Bone Transplantation / Q000379:methods; D002111:Calcaneus / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000601:surgery*; D013524:Surgical Flaps