[Resection of the calcaneus as a treatment option in osteitis following an open calcaneus fracture].
Surgical treatment of calcaneal fractures is demanding due to the poor musculocutaneous coverage. Infection with osteitis is a severe complication with open fractures. The appearance of osteitis requires aggressive surgical treatment including amputation in case of persistence, leading to considerable invalidism. We report the case of an 37-year-old mason with an grade III open calcaneal fracture caused by a fall. Osteitis appeared after primary osteosynthesis with open reduction and eventually--after several revisions--required a calcanectomy. By preservation of the forefoot and midfoot and thanks to sufficient orthosis treatment the patient was able to return to his profession after eight months.
Fuchs
M
M
Klinik und Poliklinik für Unfallchirurgie, Plastische und Wiederherstellungschirurgie der Universität Göttingen.
Burchhardt
H
H
Dresing
K
K
Radebold
T
T
Stürmer
K M
KM
D000058:Accidental Falls; D000328:Adult; D002111:Calcaneus / Q000293:injuries* / Q000601:surgery*; D005592:Fracture Fixation / Q000379:methods; D050723:Fractures, Bone / Q000150:complications* / Q000601:surgery*; D006801:Humans; D008297:Male; D009989:Orthotic Devices; D010000:Osteitis / Q000209:etiology / Q000601:surgery*; D012775:Shoes