Sundararajan Silvampatti Ramasamy, Ramakanth Rajagopalakrishnan, D'souza Terence, Rajasekaran Shanmuganathan
Department of Arthroscopy and Sports Medicine, Ganga Medical Center &Hospital, Coimbatore, India.
Department of Orthopaedics and Spine Surgery, Ganga Medical Center &Hospital, Coimbatore, India.
J Clin Orthop Trauma. 2022 Dec 29;37:102088. doi: 10.1016/j.jcot.2022.102088. eCollection 2023 Feb.
Desmoplastic fibroma of the calcaneum is a rare, locally aggressive tumour. A 24-year-old female presented with long-standing heel pain, with the collapse of the calcaneum (hindfoot) that was untreated for 7 years. Eradication of this locally aggressive lesion by adjuvant therapy and restoration of calcaneal bony morphology by allograft was an arduous and challenging task. At the final follow-up, the heel was painless, and the patient could walk normally without support.
Restoration of calcaneal height is challenging in young patients, and using structural allograft restores calcaneal and hindfoot morphology. Patient education about the high chances of recurrence despite surgical clearance is essential, and intraoperative adjuvant usage can reduce the recurrence.
跟骨促结缔组织增生性纤维瘤是一种罕见的、具有局部侵袭性的肿瘤。一名24岁女性因长期足跟疼痛就诊，其跟骨（后足）塌陷已7年未得到治疗。通过辅助治疗根除这种局部侵袭性病变，并通过同种异体骨移植恢复跟骨的骨形态，是一项艰巨且具有挑战性的任务。在最后一次随访时，足跟无痛，患者无需支撑即可正常行走。
在年轻患者中恢复跟骨高度具有挑战性，使用结构性同种异体骨移植可恢复跟骨和后足形态。对患者进行关于即使手术切除仍有高复发几率的教育至关重要，术中使用辅助治疗可降低复发率。
