Functional Ankle Reconstruction Technique After Total Calcanectomy.

IF 0.5 4区 医学 Q4 ORTHOPEDICS Journal of the American Podiatric Medical Association Pub Date : 2024-05-01 DOI:10.7547/21-102
Metin Uzun, Levent Eralp
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Abstract

Background: Although comminuted fractures, osteomyelitis, large skin ulcers, and malignant tumors are rarely seen in the calcaneus, it is a problematic region to treat because it is not an actual compartment and has insufficient blood supply. Few foot and ankle surgeons would recommend total calcanectomy in various cases of malignant tumors, comminuted fractures, ulcerations of the heel often seen in diabetic patients, and chronic osteomyelitis. After calcanectomy, if functional reconstruction is not performed, the patient will experience loss of function, pain, wound problems, talonavicular dislocations, and additional surgical interventions. In this study, we demonstrate calcanectomy and simultaneous functional reconstruction techniques while discussing the patients' results.

Methods: We retrospectively evaluated three patients who underwent total calcanectomy between January 1, 2001, and December 31, 2020.Two of these procedures were due to osteomyelitis of the calcaneus after trauma, and one was due to a chondroblastic osteosarcoma of the calcaneus.

Results: The patients were followed up for an average of 116 months. None of the patients developed problems with their wounds in the postoperative term or during follow-up.

Conclusions: Total calcanectomy as a surgical method of limb salvage yields successful results. We believe that these results can be improved with functional reconstruction and rehabilitation with custom-made shoes, and the results do not entail additional morbidity or require additional hindfoot bone reconstruction.

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踝关节全切除术后的功能性重建技术
背景:虽然粉碎性骨折、骨髓炎、大面积皮肤溃疡和恶性肿瘤很少发生在小方块,但由于小方块不是一个真正的腔隙,且血液供应不足,因此治疗起来很棘手。对于恶性肿瘤、粉碎性骨折、糖尿病患者常见的足跟溃疡和慢性骨髓炎等各种病例,很少有足踝外科医生会建议进行全小方块切除术。方骨切除术后,如果不进行功能重建,患者会出现功能丧失、疼痛、伤口问题、距骨脱位以及额外的手术干预。在本研究中,我们展示了方骨切除术和同步功能重建技术,同时讨论了患者的治疗效果:我们对 2001 年 1 月 1 日至 2020 年 12 月 31 日期间接受全小方块切除术的三名患者进行了回顾性评估:患者平均接受了 116 个月的随访。没有一名患者在术后或随访期间出现伤口问题:结论:小方骨全切除术作为一种挽救肢体的手术方法取得了成功。我们相信,这些结果可以通过功能重建和穿定制鞋进行康复治疗得到改善,而且这些结果不会带来额外的发病率,也不需要额外的后足骨重建。
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
128
审稿时长
6-12 weeks
期刊介绍: The Journal of the American Podiatric Medical Association, the official journal of the Association, is the oldest and most frequently cited peer-reviewed journal in the profession of foot and ankle medicine. Founded in 1907 and appearing 6 times per year, it publishes research studies, case reports, literature reviews, special communications, clinical correspondence, letters to the editor, book reviews, and various other types of submissions. The Journal is included in major indexing and abstracting services for biomedical literature.
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