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Management of an open calcaneal fracture with use of antibiotic cement spacer and Reverse Sural Artery flap cover- A Salvage Procedure : A case report

Elvis Benjamin .

Abstract


Open fractures of the calcaneus are distinct  injuries relative to closed fractures, and thus require different treatment. The reported complications rate after open calcaneal fractures lies between 7-37 percent ,such as wound infection, osteomyelitis and amputation. The mainstay of  management of open calcaneal fracture is early aggressive debridement and irrigation followed by fixation with percutaneous Kirschner wires or external fixator to provide a good bony alignment. The purpose of this paper is to report the outcome of removal of entire calcaneum, use of antibiotic spacer and reverse sural artery flap cover as a salvage     procedure due to severely infected open fracture, non          reconstructable fracture pattern and comorbidities. This had a relatively good outcome.

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References


Cotton FJ. Dislocations and Joint-Fractures. Philadelphia: WB Saunders; 1910

Heier KA, Infante AF, Walling AK, et al. Open fractures of the calcaneus: soft-tissue injury determines outcome. J Bone Joint Surg Am 2003;85:2276-2282.

Benirschke SK, Kramer PA. Wound healing complications in closed and open calcaneal fractures. J Orthop Trauma 2004;18:1-6.

Berry GK, Stevens DG, Kreder HJ, et al. Open fractures of the calcaneus: a review of treatment and outcome. J Orthop Trauma 2004;18:202-206.

Bezes H, Massart P, Delvaux D, et al. The operative treatment of intraarticular calcaneal fractures: indications, technique, and results in 257 cases. Clin Orthop 1993;290:55-59.

Levin LS, Nunley JA. The management of soft-tissue problems associated with calcaneal fractures. Clin Orthop 1993;290:151-156.

Myerson M, Manoli A. Compartment syndromes of the foot after calcaneal fractures. Clin Orthop 1993;290:142-150.

Paley D, Hall H. Intra-articular fractures of the calcaneus: a critical analysis of results and prognostic factors. J Bone Joint Surg Am 1993;75:342-354

Folk JW, Starr AJ, Early JS. Early wound complications of operative treatment of calcaneus fractures: analysis of 190 fractures. J Orthop Trauma 1999;13:369-372

Siebert CH, Hansen M, Wolter D. Follow-up evaluation of open intra-articular fractures of the calcaneus. Arch Orthop Trauma Surg 1998;117:442-447


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