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Calcanectomy, an alternative amputation? Two case reports.

Jan H B Geertzen1, Paul Jutte, Christiaan Rompen

  • 1Center for Rehabilitation and Graduate School for Health Research, University Medical Center Groningen, Groningen, The Netherlands. j.h.b.geertzen@rev.umcg.nl

Prosthetics and Orthotics International
|February 24, 2009
PubMed
Summary

Calcanectomy, a rare amputation, can improve independence and quality of life for patients with severe heel conditions or tumors. This procedure may offer better outcomes than more proximal amputations.

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Area of Science:

  • Orthopedic Surgery
  • Reconstructive Surgery
  • Podiatric Surgery

Background:

  • Limb amputation presents significant challenges for patients adapting to a new level of independence.
  • Total calcanectomy is an uncommon amputation procedure involving the removal of the heel bone.

Observation:

  • Two patients underwent total calcanectomy: one for a non-healing ulcer and osteomyelitis secondary to spina bifida aperta, and another for a central chondrosarcoma.
  • Both patients experienced pre-existing disabilities but maintained independence for several years post-calcanectomy.

Findings:

  • Calcanectomy can be a viable limb salvage option for specific indications, preserving patient independence.
  • Compared to more proximal amputations (e.g., Syme, transtibial), calcanectomy may be associated with better quality of life and potentially lower morbidity and mortality.

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Implications:

  • Calcanectomy should be considered as an alternative amputation strategy when indicated, potentially enhancing patient independence and quality of life.
  • This procedure offers a chance to maintain functionality and autonomy, particularly when compared to higher-level amputations.