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Case Reports in Orthopedics
Volume 2016, Article ID 4012180, 5 pages
http://dx.doi.org/10.1155/2016/4012180
Case Report

Delayed Reconstruction by Total Calcaneal Allograft following Calcanectomy: Is It an Option?

Department of Orthopedic Surgery, Division of Lower Limb Surgery, Lapeyronie University Hospital, 371 Avenue du Doyen Gaston Giraud, 34295 Montpellier Cedex 5, France

Received 12 June 2016; Revised 8 October 2016; Accepted 23 October 2016

Academic Editor: Kaan Erler

Copyright © 2016 Benjamin Degeorge et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Many options are available in literature for the management of delayed reconstruction following calcanectomy. In cases of low-grade tumor lesions, conservative surgery can be considered. We describe a case of delayed reconstruction by calcaneal allograft after calcanectomy for low-grade chondrosarcoma. At 12-month follow-up, the patient had no pain; MSTS score and AOFAS score were satisfactory. Subtalar nonunion was observed with no secondary displacement or graft necrosis. The aim of conservative treatment for this patient was to restore normal gait with plantigrade locomotion and function of the Achilles tendon. Calcaneal reconstruction by total allograft is an alternative approach following calcanectomy for calcaneal tumors. We also discussed other options of calcaneal reconstruction.