Salvage Surgery with Iliac Wing Autograft Following Total Calcanectomy for Calcaneal Chondrosarcoma

Primary malignancies originating in the calcaneus are rare, constituting fewer than 1% of skeletal tumors. Traditional approaches like amputation, though effective, result in significant morbidity. This study presents a case of a 32-year-old male with calcaneal chondrosarcoma, managed with total calcanectomy and subsequent limb salvage through iliac wing autograft reconstruction. The decision for reconstruction considered tumor characteristics, patient factors, and feasibility of reconstruction methods. Successful recovery and functional outcomes were achieved without evidence of recurrence during the 67-month follow-up. The use of autogenous iliac bone graft demonstrated its suitability for structural reconstruction, emphasizing limb-sparing options in calcaneal chondrosarcomas.