Case Reports in Orthopedics / 2016 / Article / Tab 2

Case Report

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

Table 2

Comparison of different reconstruction techniques following calcanectomy.

FixationAT suture Donor site morbidityFoot staticsComplication at last follow-up (years)Possibility of soft tissue coverage

Calcaneal allograft [3, 4]Double arthrodesisYes/RestoredOsteonecrosis of the graft (32 and 9)Yes
Composite fibular flap [6]Arthrodesis STNoNone in the study
Risk of lesions common PN, pain
Restored but strait calcaneal support3 repeat flaps (4,2)Yes
Allograft + pediculated composite fibular flap [2, 5]Arthrodesis AT sutureYesNone in the study
Risk of lesions common PN, pain
Restored2 repeat flaps (2 and 3,5)Yes
Free composite iliac flap [7, 8]Double arthrodesis
(ST, CC, and TN)
YesPain
Scar
Restored Heel numbnessGraft fracture (7,1 and 2,6)Yes
Calcaneal prosthesis [9, 10]ST and CC avivementYes + plantar fascia and spring ligament/RestoredNone (0,4 and 12)To be assessed

ST: subtalar; CC: calcaneocuboid; AT: Achilles tendon; TN: talonavicular; PN: peroneal nerve; associated or secondary sural flap.

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