Resumen

ZAPATA-OSPINA, Alejandro et al. Total calcanectomy reconstruction with free fibula flap with 6-year follow-up. Case report. Cir. plást. iberolatinoam. [online]. 2024, vol.50, n.3, pp.313-318.  Epub 22-Nov-2024. ISSN 1989-2055.  https://dx.doi.org/10.4321/s0376-78922024000300010.

Open fractures of the calcaneus represent high risk of infection, sometimes leading to complete removal of the bone. The scenario of a total calcanectomy becomes a great surgical challenge, since it is not only necessary to solve the residual covering defect, but also to recover the gait function, because this bone has a fundamental role in human walking due to its capacity to support weight and compression.

We present the case of a patient who, after an open calcaneal fracture, develops osteomyelitis that persists despite treatment, so a total calcanectomy is performed. For reconstruction, a fibula osteocutaneous flap is performed, introducing a novel form for placement in place of the calcaneus, which allows the limb to be saved. After 6 years of follow-up, patient achieved total restoration of walking.

Palabras clave : Free flaps; Fibula; Calcaneus; Osteomyelitis; Microsurgery.

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