{"title":"[骨髓炎和软组织缺损的全方形截骨术与复杂的后足二次重建:病例报告与文献比较]。","authors":"D Kolitsch, P Kobbe, S Langwald, M Hückstädt","doi":"10.1007/s00113-024-01488-0","DOIUrl":null,"url":null,"abstract":"<p><p>The clinical picture and surgical treatment of implant-associated osteomyelitis of the calcaneus with soft tissue defect are presented based on this case study. Due to the fulminant infection, complete resection of the calcaneus and a two-stage complex reconstruction of the hindfoot were performed. As necrosis developed in the surgical access route, coverage with a free ALT flap became necessary.</p>","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"900-904"},"PeriodicalIF":0.0000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Total calcanectomy in osteomyelitis and soft tissue defect with complex secondary reconstruction of the hindfoot : Case report and literature comparison].\",\"authors\":\"D Kolitsch, P Kobbe, S Langwald, M Hückstädt\",\"doi\":\"10.1007/s00113-024-01488-0\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>The clinical picture and surgical treatment of implant-associated osteomyelitis of the calcaneus with soft tissue defect are presented based on this case study. Due to the fulminant infection, complete resection of the calcaneus and a two-stage complex reconstruction of the hindfoot were performed. As necrosis developed in the surgical access route, coverage with a free ALT flap became necessary.</p>\",\"PeriodicalId\":75280,\"journal\":{\"name\":\"Unfallchirurgie (Heidelberg, Germany)\",\"volume\":\" \",\"pages\":\"900-904\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Unfallchirurgie (Heidelberg, Germany)\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1007/s00113-024-01488-0\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/10/9 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Unfallchirurgie (Heidelberg, Germany)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s00113-024-01488-0","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/10/9 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
本病例介绍了植入物相关性小腿骨髓炎伴软组织缺损的临床表现和手术治疗。由于感染严重,医生对小方块进行了完全切除,并对后足进行了两阶段复合重建。由于手术入路发生坏死,必须使用游离 ALT 皮瓣进行覆盖。
[Total calcanectomy in osteomyelitis and soft tissue defect with complex secondary reconstruction of the hindfoot : Case report and literature comparison].
The clinical picture and surgical treatment of implant-associated osteomyelitis of the calcaneus with soft tissue defect are presented based on this case study. Due to the fulminant infection, complete resection of the calcaneus and a two-stage complex reconstruction of the hindfoot were performed. As necrosis developed in the surgical access route, coverage with a free ALT flap became necessary.