Infected
open calcaneal fractures - A delayed reconstruction technique using calcium sulphate and hydroxyapatite antibiotic elucidating void filler.
J Clin Orthop Trauma 2020;
11:462-466. [PMID:
32405210 PMCID:
PMC7211893 DOI:
10.1016/j.jcot.2020.03.017]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/07/2020] [Revised: 03/20/2020] [Accepted: 03/21/2020] [Indexed: 10/24/2022] Open
Abstract
UNLABELLED
Treating open calcaneal fractures remains challenging, particularly when involving bone loss and infection.
CASE
We present the case of a 25-year-old woman who sustained an open AO 83-C2 calcaneal fracture with subsequent necrosis and presumed infection. Superseding necrosis and bone loss complicated the plan for definitive fixation. Residual bone was stabilised with Kirshner-wires and the void filled with a calcium sulphate and hydroxyapatite spacer, facilitating delayed surgical reconstruction.
CONCLUSION
Using calcium sulphate and hydroxyapatite spacer, as part of a 2-stage process represents a strategy in the treatment of complex calcaneal fractures with possible infection, and bone and soft tissue loss.
LEVEL OF CLINICAL EVIDENCE
4.
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