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Related Concept Videos

Ankle Joint01:10

Ankle Joint

1.5K
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Functional Ankle Reconstruction Technique After Total Calcanectomy.

Metin Uzun1, Levent Eralp2

  • 1*Mehmet Ali Aydinlar Acibadem University, Acibadem Maslak Hospital, Istanbul, Turkey.

Journal of the American Podiatric Medical Association
|July 26, 2024
PubMed
Summary
This summary is machine-generated.

Total calcanectomy with functional reconstruction offers successful limb salvage for complex calcaneus conditions. This approach minimizes complications and avoids further hindfoot reconstruction, improving patient outcomes.

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Area of Science:

  • Orthopedic Surgery
  • Limb Salvage Procedures
  • Foot and Ankle Reconstruction

Background:

  • The calcaneus presents treatment challenges due to its anatomy and poor blood supply, making procedures like total calcanectomy difficult.
  • Total calcanectomy is rarely recommended but may be necessary for conditions including malignant tumors, chronic osteomyelitis, and severe fractures or ulcers.
  • Without functional reconstruction, total calcanectomy can lead to significant functional loss, pain, and further complications.

Purpose of the Study:

  • To demonstrate the efficacy of simultaneous total calcanectomy and functional reconstruction techniques.
  • To evaluate the outcomes of patients undergoing this combined surgical approach.

Main Methods:

  • A retrospective review of three patients who underwent total calcanectomy between 2001 and 2020.
  • Indications for surgery included calcaneal osteomyelitis post-trauma (two cases) and chondroblastic osteosarcoma (one case).

Main Results:

  • Patients were followed for an average of 116 months.
  • No wound complications were observed during the postoperative period or follow-up.

Conclusions:

  • Total calcanectomy, when combined with functional reconstruction, is a successful limb salvage strategy.
  • Functional reconstruction and rehabilitation, potentially with custom footwear, can enhance outcomes.
  • This approach does not appear to increase morbidity or necessitate additional hindfoot bone reconstruction.