Comparison of Bone Preserving and Radical Surgical Treatment in 32 Cases of Calcaneal Osteomyelitis

Journal of Bone and Joint Infection
Ireneusz BabiakPaweł Małdyk

Abstract

Introduction. Radical procedures like calcanectomy and amputation performed for calcaneal osteomyelitis are regarded as effective in eradication of infection even though potentially functionally disabling. Bone sparing procedures offer better functional result at the expense of potentially worse infection control. The aim of the study has been to assess the influence of the surgical radicalism as much as the extent of bone infection on the final outcome in the surgical therapy of chronic calcaneal osteomyelitis (CO). Material and method. 32 patients with chronic CO have comprised the group under study: 8 with superficial type, 12 localised type and 12 with diffuse type according to Cierny-Mader classification. The aim of the treatment was to heal infection, preserve the heel shape and achieve good skin coverage over the calcaneus. The therapy consisted of 9 debridement surgeries with or without flaps, 8 drilling-operations of the calcaneus with application of collagen-gentamicin-sponge in bore holes, 15 partial and 2 total calcanectomies, and 4 below-the knee amputations. Results. The healing of infection and wound has been achieved after 7 of 9 debridements, 6 of 8 drilling-operations, 13 of 15 partial and all total calcanecto...Continue Reading

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Citations

Dec 20, 2019·The International Journal of Lower Extremity Wounds·Michael J McCann, Ashleigh Wells
Jul 22, 2017·Medical Microbiology and Immunology·Marta KierzkowskaGrazyna Mlynarczyk
Jan 29, 2019·Foot & Ankle International·Felix W A WaibelMartin C Berli
Jun 14, 2019·Journal of Bone and Joint Infection·Marta Sabater-MartosMartin McNally
Dec 5, 2020·Foot & Ankle Specialist·Michael J HuchitalMichael Subik
Aug 25, 2020·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Kaissar YammineChahine Assi

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Methods Mentioned

BETA
amputation
X-ray
biopsies
amputations

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