title: Treatment of chronic heel osteomyelitis in vasculopathic patients. Can the combined use of Integra® , skin graft and negative pressure wound therapy be considered a valid therapeutic approach after partial tangential calcanectomy?
abstract: Osteomyelitis of the calcaneus is a difficult problem to manage. Patients affected by osteomyelitis of the calcaneus often have a below-the-knee amputation because of their comorbidity. In this article, we present seven cases of heel ulcerations with chronic osteomyelitis treated with Integra(®) Dermal Regeneration Template, skin graft and negative pressure wound therapy after partial tangential calcanectomy, discussing the surgical and functional results. In this casuistic of patients, all wounds healed after skin grating of the neodermis generated by Integra(®), with no patient requiring a below-knee amputation.
authors: Department of Plastic Reconstructive and Aesthetic Surgery, University of Turin, San Giovanni Battista Hospital, Turin, Italy. marco@fraccalvieri.it
authors: Marco
authors: M
authors: Fraccalvieri
authors: Giuseppe
authors: G
authors: Pristerà
authors: Enrico
authors: E
authors: Zingarelli
authors: Erind
authors: E
authors: Ruka
authors: Stefano
authors: S
authors: Bruschi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002111:Calcaneus / Q000601:surgery*; D002809:Chondroitin Sulfates; D002908:Chronic Disease; D003094:Collagen; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D054843:Negative-Pressure Wound Therapy; D010019:Osteomyelitis / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D011859:Radiography; D012189:Retrospective Studies; D016038:Skin Transplantation; D017768:Skin, Artificial; D014945:Wound Healing
chemical_list: C114835:integra artificial skin; D002809:Chondroitin Sulfates; D003094:Collagen