Subtotal calcanectomy for osteomyelitis of the os calcis: a reasonable alternative to free tissue transfer.

Isenberg, J S; Costigan, W M; Thordarson, D B · Ann Plast Surg · 1995

case_series · Level IV

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Abstract

Composite wounds of the heel with secondary secondary osteomyelitis of the calcaneus remain a reconstructive challenge. A paucity of regional flaps has often necessitated microvascular transplantation in order to obtain wound healing. Subtotal calcanectomy, traditionally a technique of the orthopedic surgeon, can, in selected cases, eradicate infection and achieve wound closure and limb preservation. A review was undertaken of one hospital's experience with this procedure over a 4-year period. Five patients with osteomyelitis of the os calcis were identified who were successfully managed with subtotal calcanectomy.

Medical subject headings