Calcaneal reconstruction using a femoral head allograft and biologic adjuncts: A case report

SAGE Open Med Case Rep. 2022 Dec 19:10:2050313X221129782. doi: 10.1177/2050313X221129782. eCollection 2022.

Abstract

We present a case of calcaneal reconstruction after both an improvised explosive device injury and subsequent salvage procedures left the patient with a large calcaneal defect and damaged hindfoot soft tissue. A subtalar arthrodesis was performed with a femoral head allograft, where it was fused to the remaining calcaneus and superiorly through the talus, to successfully reconstruct this defect. Demineralized bone matrix, bone morphogenetic protein, and concentrated bone marrow aspirate were also added as adjuncts to promote bone remodeling. At final follow-up, the patient denied pain, was fully weight-bearing, and had resumed an active lifestyle. Level of Evidence: Level V, Case Report.

Keywords: Calcaneal fractures; bone healing/orthobiologics; osteomyelitis; reconstructive foot and ankle surgery; soft tissue repair/trauma.

Publication types

  • Case Reports