A Modified Free Muscle Transfer Technique to Effectively Treat Chronic and Persistent Calcaneal Osteomyelitis

Ghods M, Grabs R, Kersten C, et al (Hosp Ernst von Bergmann, Potsdam, Germany) Ann Plast Surg 68:599-605, 2012^§

Abstract

Objective

Successful management of chronic calcaneal osteomyelitis presents a major challenge for the plastic and reconstructive surgeon, especially in cases involving soft-tissue defects. This article describes a modified free muscle transfer technique to effectively eradicate chronic and persistent calcaneal osteomyelitis.

Methods

Between February 2009 and September 2009, 3 male patients with persistent calcaneal osteomyelitis were treated in our clinic. All 3 had purulent drainage for a minimum of 6 months and a maximum of 23 years. Multiple surgical debridements and vacuum-assisted closure had been used in the past, but the infection remained. We used a therapeutic protocol of repeated and radical surgical debridement with removal of nearly all cancellous bone and preservation of the cortical shell of the calcaneus. After the final debridement, the bone cavity was plugged by a free gracilis muscle flap from the contralateral side. A meshed split thickness skin graft was applied. Culture-specific antibiotics were administered for 2 weeks.

Results

Only gold members can continue reading. Log In or Register to continue

Share this:

• Click to share on Twitter (Opens in new window)
• Click to share on Facebook (Opens in new window)

Related

Related posts:

randomized placebo-controlled trial of oxybutynin for the initial treatment of palmar and axillary hyperhidrosis Invasive Component Separation Results in Fewer Wound-Healing Complications than Open Component Separation for Large Ventral Hernia Repairs to Basics: Understanding the Terminology Associated With Light- and Energy-Based Technology fifteen-year experience of buttock contouring with combination of silicone implant, liposuction, and structural fat grafting sural perforator plus island flap: A modification of the medial sural perforator island flap for the reconstruction of postburn knee flexion contractures using burned calf skin and Tribulations with the Inferior Gluteal Artery Perforator Flap in Autologous Breast Reconstruction

Stay updated, free articles. Join our Telegram channel

Join