Functional reconstruction of a calcaneal deficit due to osteomyelitis with femoral head allograft and tendon rebalance.
Calcaneal osteomyelitis is one of the most devastating complications encountered with the surgical treatment of calcaneal fractures. Previous treatments have focused on infection ablation, followed by either bracing or amputation. Few reports have focused on a staged procedure and ultimate functional reconstruction of the calcaneus. The case presented utilized a flexor hallucis longus tendon transfer with reattachment of the Achilles tendon, and implantation of a femoral head allograft. At 24 month follow-up, the patient was able to return to all pre-injury activities, without bracing or assistance.
Residency Director, Henry Ford Macomb Hospital, Clinton Township, MI, United States.
Brian G
BG
Loder
Henry Ford Macomb Hospital, Clinton Township, MI, United States. Electronic address: dr.karldunn@gmail.com.
Karl W
KW
Dunn
D000328:Adult; D064591:Allografts; D016025:Bone Transplantation / Q000379:methods*; D002111:Calcaneus / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005270:Femur Head / Q000637:transplantation*; D005500:Follow-Up Studies; D006801:Humans; D010019:Osteomyelitis / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000379:methods*
Calcaneal reconstruction; Femoral head allograft; Flexor hallucis longus tendon transfer; Osteomyelitis