Beta
295202

Partial Calcanectomy as an Alternative to Below the Knee Amputation for Limb Salvage in Infected Heel Ulcer with Osteomyelitis

Article

Last updated: 01 Jan 2025

Subjects

-

Tags

-

Abstract

Abstract Background: Amputations above the ankle level are usually the gold standard procedure for severe calcaneal osteomyelitis. Partial calcanectomy have been advocated as viable alternatives to below knee amputation. It aimed to limb salvage with subsequent decrease morbidity, mortality and improve quality of life Patients and Methods: A prospective single arm cohort study conducted on 20 patients between 2020 to 2022 at single center, Ain Shams University Hospitals, Patients had infected heel ulcers with osteomyelitis and Partial Calcanectomy was performed to them, then follow-up of the wounds was done. Results: No postoperative complication or signs of ischemia 15 males (75%) and 5 females (25%). The age ranged between 51 years and 73 years with mean age of 63±7. Most of patients are diabetic (90%), hypertensive (85%), 2/3 of them were smoker. Limb salvage was achieved on 65 % of cases with no recorded 30 day mortality All cases had score 4 WIFI classification and there were no sever limb ischemia. Subgroups difference in wound depth, degree of foot infection and ankle brachial index may have impact on limb salvage. (ABI), achieved in 3 cases after 1 month, 7 cases after 3 month and 3 cases after 7 months. Conclusion: Partial calcanectomy is safe and effective alternative to below knee amputation in treatment of heel ulcer and calcaneal osteomyelitis.

DOI

10.21608/mjcu.2022.295202

Keywords

Partial calcanectomy, Calcaneal osteomyelitis

Authors

First Name

HASSAN HATEM M.N.M.M. MOKHTAR, M.Sc.;

Last Name

MOHY AL-DEEN AL-BANNA, M.D.

MiddleName

-

Affiliation

-

Email

-

City

-

Orcid

-

First Name

AYMAN ABD EL-FATTAH, M.D.;

Last Name

KARIM Sh.M. EL-AWADY, M.D.

MiddleName

-

Affiliation

-

Email

-

City

-

Orcid

-

First Name

AMR

Last Name

ABDELGHAFFAR H. MAHMOUD, M.D.

MiddleName

-

Affiliation

The Department of Vascular Surgery, Faculty of Medicine, Ain Shams University Hospitals

Email

-

City

-

Orcid

-

Volume

90

Article Issue

12

Related Issue

39806

Issue Date

2022-12-01

Receive Date

2023-04-13

Publish Date

2022-12-01

Page Start

2,389

Page End

2,394

Print ISSN

0045-3803

Online ISSN

2536-9806

Link

https://mjcu.journals.ekb.eg/article_295202.html

Detail API

https://mjcu.journals.ekb.eg/service?article_code=295202

Order

295,202

Type

Original Article

Type Code

263

Publication Type

Journal

Publication Title

The Medical Journal of Cairo University

Publication Link

https://mjcu.journals.ekb.eg/

MainTitle

Partial Calcanectomy as an Alternative to Below the Knee Amputation for Limb Salvage in Infected Heel Ulcer with Osteomyelitis

Details

Type

Article

Created At

30 Dec 2024