Case Report
Delayed Reconstruction by Total Calcaneal Allograft following Calcanectomy: Is It an Option?
Table 2
Comparison of different reconstruction techniques following calcanectomy.
| | | Fixation | AT suture | Donor site morbidity | Foot statics | Complication at last follow-up (years) | Possibility of soft tissue coverage |
| | Calcaneal allograft [3, 4] | Double arthrodesis | Yes | / | Restored | Osteonecrosis of the graft (32 and 9) | Yes | | Composite fibular flap [6] | Arthrodesis ST | No | None in the study
Risk of lesions common PN, pain | Restored but strait calcaneal support | 3 repeat flaps (4,2) | Yes | | Allograft + pediculated composite fibular flap [2, 5] | Arthrodesis AT suture | Yes | None in the study
Risk of lesions common PN, pain | Restored | 2 repeat flaps (2 and 3,5) | Yes | | Free composite iliac flap [7, 8] | Double arthrodesis
(ST, CC, and TN) | Yes | Pain
Scar | Restored Heel numbness | Graft fracture (7,1 and 2,6) | Yes | | Calcaneal prosthesis [9, 10] | ST and CC avivement | Yes + plantar fascia and spring ligament | / | Restored | None (0,4 and 12) | To be assessed |
|
|
ST: subtalar; CC: calcaneocuboid; AT: Achilles tendon; TN: talonavicular; PN: peroneal nerve; associated or secondary sural flap.
|
