Total calcanectomy in calcaneal osteomyelitis: An alternative to major amputation

• Type: Article in International Scientific Journal
• Date: 2022

Authors

Pereira, PF (Author) Other; Silva, MR (Author) Other; Simão, RS (Author) Other; Negrão, P (Author) Other; Sousa, A (Author) Other; Neves, N (Author) FMUP

Journal

The Journal is awaiting validation by the Administrative Services.

Title: Foot

Vol. 51

ISSN: 0958-2592

Indexing

Scopus - 0 Citations

Other information

Authenticus ID: P-00W-AWG

DOI: 10.1016/j.foot.2021.101896

Abstract (EN): Background: Hindfoot ulcers associated with chronic calcaneus osteomyelitis are very difficult to manage and many patients need a limb amputation for resolution. Total calcanectomy can be a salvage procedure for these patients. The purpose of this study is to present our results of total calcanectomy. Methods: Retrospective analysis of six patients undergoing total calcanectomy at our institution between 2008 and 2019. Patient data and ambulatory status were analyzed. Results: In 4 of the 6 patients, infection control and wound closure was achieved with total calcanectomy with follow-up ranging from 1 to 12 years. The 4 patients maintain walking ability. Two major complications: an early death caused by a respiratory infection and a below the knee amputation due to recurrence of the foot infection. Conclusion: Total calcanectomy is an useful procedure for limb salvage in foot ulcers with chronic calcaneus osteomyelitis. © 2021 Elsevier Ltd

Language: English

Type (Professor's evaluation): Scientific