title: Primary arthrodesis and sural artery flap coverage for subtalar joint osteomyelitis in a diabetic patient.
abstract: Diabetic chronic wounds with joint sepsis and osteomyelitis of the hindfoot can be difficult pathologic entities to treat. Limb salvage approaches are based on careful preoperative evaluation, surgical technique, and postoperative care. This article reviews the overall management of subtalar joint osteomyelitis with a case report showing primary arthrodesis with external fixation and soft tissue coverage with a reverse sural artery neurofasciocutaneous flap.
authors.affiliation: Division of Podiatric Medicine and Surgery, Department of Orthopaedic Surgery, The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive-MSC 7776, San Antonio, TX 78229, USA.
authors.forename: Crystal L
authors.initials: CL
authors.lastname: Ramanujam
authors.forename: Thomas
authors.initials: T
authors.lastname: Zgonis
mesh_terms: D001174:Arthrodesis / Q000379:methods*; D017719:Diabetic Foot / Q000150:complications / Q000601:surgery*; D016267:External Fixators; D006801:Humans; D023821:Limb Salvage / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000209:etiology / Q000601:surgery*; D013380:Subtalar Joint / Q000098:blood supply; D013524:Surgical Flaps