Calcaneal Reconstruction by Proximal Tibia Allograft Following Total Calcanectomy

Hindiskere, Suraj; Bhattacharjee, Saurodeep; Doddarangappa, Srinath; Chinder, Pramod S.

doi:10.1007/s13193-019-01027-z

Cited by 2 publications

(4 citation statements)

References 21 publications

(32 reference statements)

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“…Various types of allografts have been used in calcaneal reconstruction, including femoral heads, 6 – 8 fibulas, 3 , 13 – 15 portions of the ileum, 16 , 17 portions of the anterolateral ribs, 18 and a proximal tibia. 19 To fit the shape of the posteroinferior defect of the calcaneus, the hemi-spherical shape of the femoral head was the best option in this case. Case reports from Loder and Dunn 7 and Mehta et al 8 using femoral heads for calcaneal reconstruction after calcaneus fracture and subsequent osteomyelitis have shown good outcomes with increased ankle stability and ambulation with follow-ups of 24 and 18 months, respectively.…”

Section: Discussionmentioning

confidence: 96%

“…When looking at the use of femoral head allografts to augment acetabular bone loss post-THA, Butscheidt et al 20 found that the allograft showed intact structure, significantly higher mineralization than the host bone, and an average of 7.2 mm of ingrowth with a mean follow-up of 12.9 years. Subtalar, 19 calcaneocuboid, 19 , 21 and fusions to the remaining calcaneus 7 , 8 have been used to help manage large defects of the calcaneus. We decided upon a subtalar fusion through the allograft and remaining calcaneus as it would preserve ankle joint range of motion and inversion/eversion ability while providing strong hindfoot structural support.…”

Section: Discussionmentioning

confidence: 99%

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

Weiss

Konopka

Azam

et al. 2022

SAGE Open Medical Case Reports

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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

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

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

Weiss

Konopka

Azam

et al. 2022

SAGE Open Medical Case Reports

View full text Add to dashboard Cite

show abstract

“…11 With the advancement of oncologic treatment modalities and limb salvage techniques, total calcanectomy has become an alternative in managing rare calcaneal aggressive benign tumors and selected cases of intraosseous malignant tumors. 8,11,17 However, there is still no consensus among the reconstructive surgeons on the operative approach, oncologic margin, and the best reconstruction method to tackle this problem. 8,11,17 To date, only limited numbers of salvage procedures have been reported.…”

Section: Introductionmentioning

confidence: 99%

“…8,11,17 However, there is still no consensus among the reconstructive surgeons on the operative approach, oncologic margin, and the best reconstruction method to tackle this problem. 8,11,17 To date, only limited numbers of salvage procedures have been reported.…”

Section: Introductionmentioning

confidence: 99%

Calcaneal Reconstruction With Free Deep Circumflex Iliac Artery Osseocutaneous Flap Following Aggressive Benign Bone Tumor Resection

et al. 2021

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Background: Advances in limb-salvage techniques have made total calcanectomy and primary reconstruction possible in managing calcaneal aggressive benign tumors and selected cases of intraosseous malignant tumors. However, there is still no consensus on the operative approach, oncologic margin, and the best reconstruction method to date. These 2 cases describe our experience in calcaneal reconstruction with the free deep circumflex iliac artery (DCIA) osseocutaneous flap in benign aggressive calcaneal tumors. Methods: We reported 2 consecutive male and female patients, with an average age of 25 years (age 19 and 31, respectively), who underwent total calcanectomy and primary calcaneal reconstruction with the free DCIA osseocutaneous flaps for calcaneal chondroblastoma and giant cell tumor. A marginal resection of the entire calcaneus through the subtalar and calcaneocuboid joints (intra-articular approach) was performed in the first case and a wide local resection leaving 1 cm normal calcaneal bone margin anterosuperiorly (intraosseous approach) was performed in the second case. Results: The follow-up period averaged 48 months. Negative oncologic margins were achieved in both cases. The first case was complicated with venous thrombosis; however, the graft remained viable after emergency reexploration. Normal foot function was restored with good solid osseous union and bony hypertrophy observed. Both patients achieved good short-term functional and aesthetic outcomes with no donor site pain or disability. No local recurrence was reported either. Conclusion: Primary calcaneal reconstruction with the free DCIA osseocutaneous flap can lead to good short-term functional and aesthetic outcomes. Level of Evidence: Level IV, case series.

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Calcaneal Reconstruction by Proximal Tibia Allograft Following Total Calcanectomy

Cited by 2 publications

References 21 publications

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

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

Calcaneal Reconstruction With Free Deep Circumflex Iliac Artery Osseocutaneous Flap Following Aggressive Benign Bone Tumor Resection

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