The Vertical Contour Calcanectomy: An Alternative Surgical Technique to the Conventional Partial Calcanectomy

Elmarsafi, Tammer; Pierre, Andrew J.; Wang, Qingmin; Evans, Karen K.; Attinger, Christopher E.; Kim, Paul J.; Steinberg, John S.

doi:10.1053/j.jfas.2018.08.040

Cited by 19 publications

(12 citation statements)

References 20 publications

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“…Fear of revision trans-tibial amputation, iatrogenic calcaneal gait because of achilles tendon detachment and retraction, talonavicular joint subluxation and recurrent osteomyelitis because of inappropriate resection of calcaneum are some of the risks that loom around . 1 Decreased muscle strength and ankle movement have also been reported in the past. 8 In chronic cases with complicated diabetes, microvascular compromise allows the antibiotic to reach target tissue only in peak plasma concentration that suppresses rather than eradicate infection.…”

Section: Discussionmentioning

confidence: 87%

“…The presence of Pseudomonas organisms have decreased preoperative ulcer closure rates at one year from 83% to 51%. 1 Nonsurgical treatments in these cases have been disappointing as they do not address the underlying etiology. Total calcanectomy with or without complex soft tissue reconstruction such as free tissue transfer is the way out.…”

Section: Discussionmentioning

confidence: 99%

“…Total calcanectomy with or without complex soft tissue reconstruction such as free tissue transfer is the way out. 1 However, total calcanectomy has its own limitations. Fear of revision trans-tibial amputation, iatrogenic calcaneal gait because of achilles tendon detachment and retraction, talonavicular joint subluxation and recurrent osteomyelitis because of inappropriate resection of calcaneum are some of the risks that loom around .…”

Section: Discussionmentioning

confidence: 99%

“…Longstanding diabetes mellitus, neuropathy, peripheral vascular disease, and advanced age make the scenario worse. 1 Total calcanectomy is a reliable alternative to below-knee amputation in such patients with chronic osteomyelitis of calcaneus. 2 We present two cases of non-healing neuropathic heel ulcers, successfully treated with total calcanectomy.…”

Section: Introductionmentioning

confidence: 99%

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Total calcanectomy: Treatment for non-healing plantar ulcer with chronic osteomyelitis of the calcaneus

Jain

Gupta

Shah

2020

Journal of Clinical Orthopaedics and Trauma

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Non-healing neuropathic heel ulcer provides a challenge to salvage the limb from a below-knee amputation. Total calcanectomy can prove a reliable option for limb salvage. Given a well-designed orthosis, patients with total calcanectomy do well at any age. We present two case examples of nonhealing neuropathic heel ulcers with chronic osteomyelitis of the calcaneus, which were salvaged with total calcanectomy and returned to all activities of daily living.

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Total calcanectomy: Treatment for non-healing plantar ulcer with chronic osteomyelitis of the calcaneus

Jain

Gupta

Shah

2020

Journal of Clinical Orthopaedics and Trauma

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“…Integrated incision closure, especially deep tissue and capsular closure, is indispensable in orthopaedic operations, which can affect surgical outcomes, lower postoperative complications, promote early rehabilitation, and increase patient satisfaction (9)(10)(11). Deep and capsular sutures are often performed with tension (12).…”

Section: Discussionmentioning

confidence: 99%

A novel and efficient surgical knotting technique for high-tension closures

Chang

Wang

et al. 2021

Ann Transl Med

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Background: The closure of high-tension incisions without any assistance can be difficult and challenging for surgeons. A common practice is to fix the first knot with a clamp and then tie a reverse locking knot; however, this practice has certain disadvantages. The aim of this study was to introduce a novel and efficient surgical knotting technique with various advantages. Methods:The two knotting methods used in this study were the absorbable braided suture where the first suture was fixed with a clamp (with assistance) and the SH-9Hospital knotting technique (without assistance) applied on the smooth surface of a cylinder. Mechanical testing was performed using a universal material testing machine. The load-elongation curve and ultimate tensile load (UTL) were recorded. Results:The mean knotting time was 36.40±1.50 s (range, 32-41 s) and 24.80±1.16 s (range, 21-28 s) in the clamp and SH-9Hosptial groups, respectively. The mean UTL was 120.8±10.14 N (range, 81.11-136.55 N) and 126.5±6.29 N (range, 104.88-139.56 N) in the clamp and SH-9Hospital groups, respectively. The knot strength of the SH-9Hospital technique was not inferior to traditional clinical practice. Conclusions:The SH-9Hospital knotting technique was a secure, convenient, and efficient method for high-tension closure.

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