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Pereira PF, Silva MR, Simão RS, Negrão P, Sousa A, Neves N. Total calcanectomy in calcaneal osteomyelitis: An alternative to major amputation. Foot (Edinb) 2022; 51:101896. [PMID: 35290842 DOI: 10.1016/j.foot.2021.101896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/23/2021] [Revised: 10/20/2021] [Accepted: 12/21/2021] [Indexed: 02/04/2023]
Abstract
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.
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Affiliation(s)
| | - Manuel Ribeiro Silva
- Orthopedics Department, Centro Hospitalar e Universitário de São João, Porto, Portugal; Surgery and Physiology Department, Faculty of Medicine, University of Porto, Porto, Portugal; CUF Porto Hospital, Porto, Portugal; i3S - Instituto de Investigação e Inovação em Saúde, University of Porto, Porto, Portugal; INEB - Instituto Nacional de Engenharia Biomédica, University of Porto, Porto, Portugal
| | - Ricardo São Simão
- Orthopedics Department, Centro Hospitalar e Universitário de São João, Porto, Portugal
| | - Pedro Negrão
- Orthopedics Department, Centro Hospitalar e Universitário de São João, Porto, Portugal; Surgery and Physiology Department, Faculty of Medicine, University of Porto, Porto, Portugal; CUF Porto Hospital, Porto, Portugal
| | - António Sousa
- Orthopedics Department, Centro Hospitalar e Universitário de São João, Porto, Portugal; Surgery and Physiology Department, Faculty of Medicine, University of Porto, Porto, Portugal
| | - Nuno Neves
- Orthopedics Department, Centro Hospitalar e Universitário de São João, Porto, Portugal; Surgery and Physiology Department, Faculty of Medicine, University of Porto, Porto, Portugal; CUF Porto Hospital, Porto, Portugal; i3S - Instituto de Investigação e Inovação em Saúde, University of Porto, Porto, Portugal; INEB - Instituto Nacional de Engenharia Biomédica, University of Porto, Porto, Portugal
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