Functional reconstruction of a calcaneal deficit due to osteomyelitis with femoral head allograft and tendon rebalance

Brian G Loder; Karl W Dunn

doi:10.1016/j.foot.2014.03.010

Functional reconstruction of a calcaneal deficit due to osteomyelitis with femoral head allograft and tendon rebalance

Foot (Edinb). 2014 Sep;24(3):149-52. doi: 10.1016/j.foot.2014.03.010. Epub 2014 Apr 13.

Authors

Brian G Loder¹, Karl W Dunn²

Affiliations

¹ Residency Director, Henry Ford Macomb Hospital, Clinton Township, MI, United States.
² Henry Ford Macomb Hospital, Clinton Township, MI, United States. Electronic address: dr.karldunn@gmail.com.

PMID: 24835572
DOI: 10.1016/j.foot.2014.03.010

Abstract

Calcaneal osteomyelitis is one of the most devastating complications encountered with the surgical treatment of calcaneal fractures. Previous treatments have focused on infection ablation, followed by either bracing or amputation. Few reports have focused on a staged procedure and ultimate functional reconstruction of the calcaneus. The case presented utilized a flexor hallucis longus tendon transfer with reattachment of the Achilles tendon, and implantation of a femoral head allograft. At 24 month follow-up, the patient was able to return to all pre-injury activities, without bracing or assistance.

Keywords: Calcaneal reconstruction; Femoral head allograft; Flexor hallucis longus tendon transfer; Osteomyelitis.

Publication types

Case Reports

MeSH terms

Adult
Allografts
Bone Transplantation / methods*
Calcaneus / diagnostic imaging
Calcaneus / surgery*
Female
Femur Head / transplantation*
Follow-Up Studies
Humans
Osteomyelitis / diagnostic imaging
Osteomyelitis / surgery*
Plastic Surgery Procedures / methods*
Radiography