J Korean Foot Ankle Soc.  2007 Jun;11(1):111-114.

Treatment of Open Calcaneal Fracture with Massive Bone Loss using Femoral Head Allograft and Myocutaneous Free Flap: A Case Report

Affiliations
  • 1Department of Orthopedic Surgery, Samsung medical center, Ilwon-dong Kangnam-gu, Seoul, Korea. kisun.sung@samsung.com
  • 2Department of Plastic Surgery, Samsung medical center, Ilwon-dong Kangnam-gu, Seoul, Korea.

Abstract

Open calcaneal fracture with more than lateral half of bone loss and soft tissue defect occurred in 17 year-old male patient due to motor vehicle accident. Soft tissue defect included heel pad, peroneal tendon. Bone loss involved mainly most part of inferior tuberosity but not subtalar joint. Open dressing and debridement were done daily in operating room and antibiotics administration was started. After granulation tissue formed, femoral head allograft was performed and fixed with 6.0 mm screws to replace bone defect. Soft tissue defect was covered with latissimus dorsi musculocutaneous free flap. No sign of infection nor major osteolysis was observed in 15 months follow up period. Soft tissue defect was covered with latissimus dorsi musculocutaneous free flap.

Keyword

Open calcaneal fracture; Bone loss; Soft tissue defect; Free flap
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