Jain Abhishek, Gupta Gaurav, Shah Rajiv S
Fellowship Foot and Ankle Surgery, Inje University, South Korea.
Fellowship Adult Joint Reconstruction and Arthroscopy, Arcus Sportklinik, Germany.
J Clin Orthop Trauma. 2020 Oct;11(Suppl 5):S861-S864. doi: 10.1016/j.jcot.2020.05.042. Epub 2020 Jun 6.
Non-healing neuropathic heel ulcer provides a challenge to salvage the limb from a below-knee amputation. Total calcanectomy can prove a reliable option for limb salvage. Given a well-designed orthosis, patients with total calcanectomy do well at any age. We present two case examples of non-healing neuropathic heel ulcers with chronic osteomyelitis of the calcaneus, which were salvaged with total calcanectomy and returned to all activities of daily living.
难愈合的神经性足跟溃疡对避免膝下截肢以挽救肢体构成了挑战。全跟骨切除术可证明是挽救肢体的可靠选择。鉴于设计良好的矫形器,接受全跟骨切除术的患者在任何年龄都恢复良好。我们展示了两例伴有跟骨慢性骨髓炎的难愈合神经性足跟溃疡病例,通过全跟骨切除术得以挽救,并恢复了所有日常生活活动。