Staged reconstruction of the hallux for infected non-union using bulk autograft and a customized implant: Case report

Alexandre Leme Godoy-Santos; Eduardo Araujo Pires; Fabio Correa Fonseca; Cesar de Cesar-Netto; Elijah Christian Auch; Stefan Rammelt

doi:10.1016/j.foot.2023.102031

Staged reconstruction of the hallux for infected non-union using bulk autograft and a customized implant: Case report

Foot (Edinb). 2023 Sep:56:102031. doi: 10.1016/j.foot.2023.102031. Epub 2023 Mar 28.

Authors

Alexandre Leme Godoy-Santos¹, Eduardo Araujo Pires², Fabio Correa Fonseca³, Cesar de Cesar-Netto⁴, Elijah Christian Auch⁴, Stefan Rammelt⁵

Affiliations

¹ Hospital Israelita Albert Einstein, São Paulo, SP, Brazil; Lab Prof Manlio Mario Marco Napoli, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, SP, Brazil.
² Lab Prof Manlio Mario Marco Napoli, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, SP, Brazil. Electronic address: dreduardoaraujopires@gmail.com.
³ Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
⁴ Department of Orthopedics and Rehabilitation, University of Iowa, USA.
⁵ UniversitätsCentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Carl Gustav Carus, Dresden, Germany.

PMID: 37075520
DOI: 10.1016/j.foot.2023.102031

Abstract

This case report illustrates the outcome of a deep infection following internal fixation of a fracture of the big toe. Hallux amputation could be avoided through staged salvage procedure. This paper can assist readers on how to effectively and safely recognize and treat this type of injury.

Keywords: Block bone graft; Custom-specific implants; Hallux; Limb salvage; Osteomyelitis; Postoperative complication.

Publication types

Case Reports

MeSH terms

Autografts
Fracture Fixation, Internal
Fractures, Bone*
Hallux* / surgery
Humans
Transplantation, Autologous