Infected open calcaneal fractures – a delayed reconstruction technique using calcium sulphate and hydroxyapatite antibiotic elucidating void filler
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Authors
Sykes, M.
Kisson, E.
Reichert, I.
Rose, V.
Ahluwalia, R.
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Issue Date
2020
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Article
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Abstract
UNLABELLED: Treating open calcaneal fractures remains challenging, particularly when involving bone loss and infection. CASE: We present the case of a 25-year-old woman who sustained an open AO 83-C2 calcaneal fracture with subsequent necrosis and presumed infection. Superseding necrosis and bone loss complicated the plan for definitive fixation. Residual bone was stabilised with Kirshner-wires and the void filled with a calcium sulphate and hydroxyapatite spacer, facilitating delayed surgical reconstruction. CONCLUSION: Using calcium sulphate and hydroxyapatite spacer, as part of a 2-stage process represents a strategy in the treatment of complex calcaneal fractures with possible infection, and bone and soft tissue loss. LEVEL OF CLINICAL EVIDENCE: 4.
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Journal
Journal of Clinical Orthopaedics and Trauma
Volume
11
Issue
3