title: Treatment of Catastrophic Infection After Surgery for Insertional Achilles Enthesopathy: A Case Report and Review of the Literature.
abstract: Wound complications after surgical treatment of insertional Achilles enthesopathy are well documented. Skin and tendon necroses pose a significant dilemma with the potential for catastrophic outcomes. Numerous treatment algorithms have been described to treat the resultant skin and tendon defects after catastrophic infection; however, to date, there is no consensus as to the optimal treatment modality. We report our experience in the management of deep infection of 2 patients who had previously undergone surgical treatment for insertional Achilles enthesopathy. A comprehensive review of the literature was undertaken with a focus on described treatment options.
  
  
  METHODS
  Therapeutic, Level IV: Case report.
authors.affiliation: Thomas Jefferson University Hospital, Philadelphia, Pennsylvania (JMK)Rothman Institute, Philadelphia, Pennsylvania (SMR).
authors.forename: Justin M
authors.initials: JM
authors.lastname: Kane
authors.affiliation: Thomas Jefferson University Hospital, Philadelphia, Pennsylvania (JMK)Rothman Institute, Philadelphia, Pennsylvania (SMR) steven.raikin@rothmaninstitute.com.
authors.forename: Steven M
authors.initials: SM
authors.lastname: Raikin
mesh_terms: D000125:Achilles Tendon / Q000601:surgery*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D003646:Debridement / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000009:adverse effects*; D019651:Plastic Surgery Procedures / Q000009:adverse effects*; D013530:Surgical Wound Infection / Q000209:etiology / Q000628:therapy*; D052256:Tendinopathy / Q000601:surgery*
chemical_list: D000900:Anti-Bacterial Agents
keywords: allograft; infection; insertional Achilles enthesopathy; reconstruction