Department of Orthopaedics, University Hospital Leuven, Weligerveld 1, B-3210 Pellenberg, Belgium.
Foot Ankle Surg. 2012 Mar;18(1):25-9. doi: 10.1016/j.fas.2011.01.008. Epub 2011 Feb 9.
Large ulcers on the heel often lead to major amputations. When a conservative treatment fails, a partial or subtotal calcanectomy is a possible treatment option.
24 Patients were evaluated regarding limb salvage and infection eradication. Fourteen of these completed a questionnaire regarding functional outcome and satisfaction.
Only 1 of 24 patients needed a below-knee amputation. Three patients did not heal and still have minor drainage of the wounds. However, hospital stay was long and in many cases additional surgery was necessary. Recurrences are seen, especially in patients with impaired sensation of the foot. In the fourteen patients who completed the questionnaire, pain was not a major problem. Many patients use orthotics and external support. The majority, however, is satisfied with the procedure and would consider the same treatment again.
Calcanectomy still has a place in the treatment of osteitis of the calcaneus.
脚跟处的大溃疡常导致主要截肢。当保守治疗失败时，部分或全部跟骨切除术是一种可行的治疗选择。
对 24 例患者进行了保肢和感染清除评估。其中 14 例患者完成了关于功能结果和满意度的问卷调查。
24 例患者中只有 1 例需要进行膝下截肢。3 例患者未愈合，伤口仍有少量引流。然而，住院时间长，在许多情况下需要额外的手术。在有足部感觉障碍的患者中，复发较为常见。在完成问卷调查的 14 例患者中，疼痛不是主要问题。许多患者使用矫形器和外部支撑。然而，大多数患者对手术结果满意，并会考虑再次接受相同的治疗。
跟骨切除术在跟骨骨髓炎的治疗中仍有一席之地。
