Composite biological reconstruction following total calcanectomy of primary calcaneal tumors

Abstract

Therapeutic Level IV.

Delayed Reconstruction by Total Calcaneal Allograft following Calcanectomy: Is It an Option?

“…The reference treatment is a surgical resection with satisfactory results. However, treatment by conservative surgery is not restricted to removal of the tumor in free margins [2], and the final aim is to restore normal gait. This involves several factors including bearing of weight without deformation of the hindfoot and normal movement of the Achilles tendon and plantar fascia to allow plantigrade locomotion.…”

“…In both reports, osteointegration was successful with satisfactory functional results. However, the authors reported secondary osteonecrosis of the hindfoot at 4-year follow-up in both studies.Li et al [2, 5, 6] recommended the use of composite fibular flaps with or without allograft and achieved satisfactory functional and oncologic results. No information was given on postoperative foot statics.…”

“…Li et al [2, 5, 6] recommended the use of composite fibular flaps with or without allograft and achieved satisfactory functional and oncologic results. No information was given on postoperative foot statics.…”

Structural allograft reconstruction of the foot and ankle after tumor resections

“…Reconstruction of the hindfoot after partial or total calcanectomy is a challenging procedure in which the goals are reconstruction of the length of the hindfoot to preserve normal tarsal biomechanics and the restoration of reliable soft tissue coverage [16,17]. Due to the infrequency of this condition, there are few cases reporting on limb-salvage procedures with the use of bone allografts, vascularized musculocutaneous flaps, and custom-made prosthesis replacements; most of them with satisfactory functional outcome [8,9,[16][17][18].…”

“…Due to the infrequency of this condition, there are few cases reporting on limb-salvage procedures with the use of bone allografts, vascularized musculocutaneous flaps, and custom-made prosthesis replacements; most of them with satisfactory functional outcome [8,9,[16][17][18]. In the case of calcanectomy without reconstruction, satisfactory function has also been reported, however cosmetic deformity, ulceration of the skin, and additional deformities frequently occur after such procedure [19,20].…”