Cancelloplasty for Treatment of Osteomyelitis of the Calcaneus: A Novel Technique and Case Report

Huchital, Michael J.; Saleh, A; Patel, Rajan B.; Subik, Michael

doi:10.1177/1938640020975885

Cited by 4 publications

(2 citation statements)

References 28 publications

(38 reference statements)

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“…Because the infected tissue tends to be avascular, OM is difficult to resolve with antibiotics [36]. Similar to the surgical excision of active caries with operative dentistry [38,39], osseous resection is often required to resolve OM [13,14,40].…”

Section: Osteomyelitismentioning

confidence: 99%

Pathophysiology of Demineralization, Part II: Enamel White Spots, Cavitated Caries, and Bone Infection

Roberts

Mangum

Schneider

2022

Curr Osteoporos Rep

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Purpose of Review Compare noninfectious (part I) to infectious (part II) demineralization of bones and teeth. Evaluate similarities and differences in the expression of hard tissue degradation for the two most common chronic demineralization diseases: osteoporosis and dental caries. Recent Findings The physiology of demineralization is similar for the sterile skeleton compared to the septic dentition. Superimposing the pathologic variable of infection reveals a unique pathophysiology for dental caries. Summary Mineralized tissues are compromised by microdamage, demineralization, and infection. Osseous tissues remodel (turnover) to maintain structural integrity, but the heavily loaded dentition does not turnover so it is ultimately at risk of collapse. A carious tooth is a potential vector for periapical infection that may be life-threatening. Insipient caries is initiated as a subsurface decalcification in enamel that is not detectable until a depth of ~400μm when it becomes visible as a white spot. Reliable detection and remineralization of invisible caries would advance cost-effective wellness worldwide.

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Section: Osteomyelitismentioning

confidence: 99%

Pathophysiology of Demineralization, Part II: Enamel White Spots, Cavitated Caries, and Bone Infection

Roberts

Mangum

Schneider

2022

Curr Osteoporos Rep

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“…Such radical operations can lead to disability and a reduced quality of life for patients. 17 In case of safe operations after intralesional resection, there is a need to fill the cavity.…”

Section: Introductionmentioning

confidence: 99%

The Concept of Treatment for Surgical Infection in the Hindfoot

Alizade,

Aliyev,

Alizada

2024

Foot & Ankle Orthopaedics

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Background: Chronic osteomyelitis of the calcaneus (OC) and open infected calcaneal fractures, especially when complicated by infected soft tissue defects, present significant surgical challenges. Accepted recommendations for the surgical treatment of this pathology are yet to be established. Methods: Drawing from our experience and the consensus among experts, we have developed a concept for selecting optimal, well-known surgical approaches based on the specific pathologic presentation. This concept distinguishes 4 main forms of hindfoot infection: infected wounds, open infected fractures, OC, and their mixed forms. Patients with conditions that could confound the treatment outcomes, such as diabetes mellitus and neurotrophic diseases, were excluded from this analysis. We present a retrospective analysis of the treatment outcomes for 44 patients (4 women and 40 men) treated between 2009 and 2022 using some refined surgical techniques. Treatment success was evaluated based on the absence of disease recurrence within a 2-year follow-up, the avoidance of below-knee amputations, and the restoration of weightbearing function. Results: The treatment results were considered through the prism of our proposed concept and according to the Cierny-Mader classification. There were 4 instances of disease recurrence, necessitating 6 additional surgeries, 2 of which (4.5% of the patient cohort) resulted in amputations. In the remaining cases, we were able to restore weightbearing function and eliminate the infection through reconstructive surgeries, employing skin grafts when necessary. Conclusion: Surgical infections of the hindfoot area remain a significant challenge. The strategic concept we propose for surgical decision making, tailored to the specific pathology, represents a potential advancement in addressing this challenge. This framework could provide valuable guidance for orthopaedic surgeons in their clinical decision-making process. Level of Evidence: Level IV, case series.

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Minimally invasive surgical approach to managing osteomyelitis in the lower extremity with a suction curettage

Abbas,

Marine,

Choi

et al. 2024

Foot & Ankle Surgery: Techniques, Reports & Cases

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Cancelloplasty for Treatment of Osteomyelitis of the Calcaneus: A Novel Technique and Case Report

Cited by 4 publications

References 28 publications

Pathophysiology of Demineralization, Part II: Enamel White Spots, Cavitated Caries, and Bone Infection

Pathophysiology of Demineralization, Part II: Enamel White Spots, Cavitated Caries, and Bone Infection

The Concept of Treatment for Surgical Infection in the Hindfoot

Minimally invasive surgical approach to managing osteomyelitis in the lower extremity with a suction curettage

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