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Treatment with Vancomycin Loaded Calcium Sulphate and Autogenous Bone in an Improved Rabbit Model of Bone Infection
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Calcaneal Osteomyelitis: A Treatment Protocol.

Madhura Sujay Kulkarni1

  • 1Postgraduate Institute of Swasthiyog Pratishthan, Near Miraj Railway Station, Extension Area, Shivajinagar, Miraj 416410 India.

Indian Journal of Orthopaedics
|October 21, 2025
PubMed
Summary
This summary is machine-generated.

Effective treatment of calcaneal osteomyelitis involves surgical debridement and post-operative orthosis. This approach aids in limb salvage and prevents recurrence of this challenging bone infection.

Keywords:
Calcaneal osteomyelitisCalcanectomyDebridementOrthosis

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Area of Science:

  • Orthopedics
  • Infectious Diseases
  • Podiatry

Background:

  • Calcaneal osteomyelitis is a serious condition requiring prompt diagnosis and treatment to prevent amputation.
  • Chronic osteomyelitis of the heel bone presents significant challenges in management.

Purpose of the Study:

  • To describe the four key principles for treating calcaneal osteomyelitis.
  • To evaluate the efficacy of a treatment protocol involving debridement, dead space management, soft tissue coverage, and orthosis.

Main Methods:

  • Retrospective study of 14 cases of calcaneal osteomyelitis in 13 patients.
  • Surgical debridement, sequestrectomy, and antibiotic-eluting calcium sulfate granules were employed.
  • Silo technique for wound management and custom orthosis for offloading were utilized.

Main Results:

  • A high success rate (13 out of 14 cases) was achieved, with limb salvage in most patients.
  • Ulcer healing occurred within an average of 1.75 months.
  • One patient with diabetes required below-knee amputation; re-ulceration occurred in three cases but was not linked to the primary calcaneal infection.

Conclusions:

  • Thorough debridement and effective dead space management are crucial for treating calcaneal osteomyelitis.
  • Post-operative offloading orthosis is essential for preventing recurrence and achieving limb salvage.