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Infected open calcaneal fractures - A delayed reconstruction technique using calcium sulphate and hydroxyapatite
M Sykes1, E Kisson1, I Reichert1
1Department of Orthopaedics, King's College Hospital, London, UK.
Abstract:
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.
