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Related Experiment Video

Updated: Nov 29, 2025

Use of Human Perivascular Stem Cells for Bone Regeneration

Use of Human Perivascular Stem Cells for Bone Regeneration

Published on: May 25, 2012

Partial Calcaneus Reconstruction using 'Opportunistic Grafts': A Case Report.

Rohit Bansal¹, Mansur Halai², Jennifer Lk Matthews³

¹Clinical Fellow, Section of Orthopedic Trauma Surgery, University of Calgary, Calgary, AB, Canada.

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons

|November 21, 2020

Summary

This study showcases "Spare Part Surgery," using amputated limb tissues to reconstruct severe lower leg injuries. This innovative approach successfully restored a patient's calcaneus and Achilles tendon, enabling a return to athletic activity.

Keywords:

autologous reconstruction open calcaneal fracture spare parts

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Last Updated: Nov 29, 2025

Use of Human Perivascular Stem Cells for Bone Regeneration

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Published on: May 25, 2012

Calvarial Model of Bone Augmentation in Rabbit for Assessment of Bone Growth and Neovascularization in Bone Substitution Materials

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Published on: August 13, 2019

Harvesting of Peroneus Longus Tendon Autograft

Harvesting of Peroneus Longus Tendon Autograft

Published on: September 2, 2025

Area of Science:

Orthopedic Surgery
Reconstructive Surgery
Traumatology

Background:

Replantation is established, but unsalvageable fractures necessitate amputation.
Amputated extremities offer potential autologous tissue for contralateral reconstruction.
Severe lower extremity trauma can result in complex, reconstructable defects.

Observation:

The patient's contralateral leg had a traumatic heel pad amputation, partial calcaneal amputation, and complete Achilles tendon loss.
Tissues from the amputated limb were used to reconstruct the injured extremity.
Distal tibia and tibialis anterior muscle reconstructed the calcaneus and Achilles tendon.
An anterolateral thigh free flap restored the heel pad soft tissue deficiency.

Findings:

The 'Spare Part Surgery' approach successfully reconstructed the calcaneus and Achilles tendon using autologous tissue from the amputated limb.
The patient experienced pain-free function and returned to soccer at a 2-year follow-up.
This method provides autologous grafts of similar geometry, avoiding additional donor sites.

Implications:

Highlights the potential of utilizing amputated parts for reconstructive purposes in complex trauma.
Emphasizes the necessity of a multidisciplinary approach involving plastic surgeons.
Demonstrates a viable 'Spare Part Surgery' philosophy for limb reconstruction, improving patient outcomes.