Treatment for Calcaneal Osteomyelitis with Pseudoarthrosis with a Vascularized Fibula Bone Graft and Autologous Cancellous Bone Graft: A Case Report

Autor: Toru Miyanaga, Takayoshi Kaneko, Mikio Yagishita, Miyuki Kishibe, Masanobu Yamashita, Kenichi Shimada
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Plastic and Reconstructive Surgery, Vol 2, Iss 4, Pp 150-155 (2023)
Druh dokumentu: article
ISSN: 2436-259X
Popis: Calcaneal osteomyelitis with pseudarthrosis after calcaneal fracture is rare, and its treatment is challenging. We describe the use of a free fibular osteocutaneous flap to treat a 52-year-old man who presented with calcaneal osteomyelitis and pseudarthrosis after an operation for a closed comminuted fracture. The patient was previously treated with multiple surgeries and antibiotics for 8 months, but he was not cured. We performed radical osteomyelitis bone debridement and reconstruction with a free fibular osteocutaneous flap and autotrabecular bone grafting from the iliac crest. The skin flap survived, and rehabilitation was initiated early. At 2 years postoperatively, his pain and ambulatory function had markedly improved, and he could walk without problems in daily life. Free fibular osteocutaneous flap and autogenous cancellous bone grafting are considered practical options for the treatment of calcaneal osteomyelitis with pseudarthrosis.
Databáze: Directory of Open Access Journals