MedStar Authors catalog › Details for: The Vertical Contour Calcanectomy: An Alternative Surgical Technique to the Conventional Partial Calcanectomy.
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The Vertical Contour Calcanectomy: An Alternative Surgical Technique to the Conventional Partial Calcanectomy.

by Elmarsafi, Tammer; Pierre, Andrew; Wang, Kaihua; Attinger, Christopher; Kim, Paul J; Steinberg, John S.
Citation: Journal of Foot & Ankle Surgery. 58(2):381-386, 2019 Mar..Journal: The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons.Published: ; ; 2019ISSN: 1067-2516.Full author list: Elmarsafi T; Pierre A; Wang K; Evans KK; Attinger CE; Kim PJ; Steinberg JS.UI/PMID: 30612862.Subject(s): *Calcaneus/su [Surgery] | Debridement/mt [Methods] | Diabetic Foot/di [Diagnosis] | *Diabetic Foot/su [Surgery] | Heel/pa [Pathology] | *Heel/su [Surgery] | Humans | *Imaging, Three-Dimensional | *Limb Salvage/mt [Methods] | Male | Middle Aged | Minimally Invasive Surgical Procedures/mt [Methods] | *Osteotomy/mt [Methods] | Postoperative Care/mt [Methods] | Preoperative Care/mt [Methods] | Prognosis | Risk Assessment | Severity of Illness Index | Tomography, X-Ray Computed/mt [Methods] | Treatment Outcome | Wound Closure Techniques | Wound Healing/ph [Physiology]Institution(s): MedStar Washington Hospital CenterDepartment(s): Surgery/Plastic Surgery | Surgery/Podiatric SurgeryActivity type: Journal Article.Medline article type(s): Journal ArticleDigital Object Identifier: (Click here) Abbreviated citation: J Foot Ankle Surg. 58(2):381-386, 2019 Mar.Local Holdings: Available online through MWHC library: 2003 - present, Available in print through MWHC library:1999-2007.Abstract: Heel ulcers have a significant impact on lower extremity morbidity and confer a high risk for major amputations. Although there are many conservative treatment options, once calcaneal osteomyelitis occurs or a heel ulcer becomes chronic or recalcitrant, more invasive management is required. The partial calcanectomy is a surgical solution that can address both pathologies-the ulceration and the infected bone. The conventional partial calcanectomy, however, does not ensure complete soft tissue closure. Often, closure under tension is required for primary closure of the soft tissue deficit or the wound must be closed by secondary intention. This process occurs, in part, when the proportion of bone resected is insufficient in relation to the size of the wound. Closure under tension increases the possibility of dehiscence and subsequent postoperative surgical site complications that lead to the same risks for major amputation as the index heel ulcer. This article introduces and describes a novel modification to the conventional partial calcanectomy and addresses these aforementioned concerns. The vertical contour calcanectomy incorporates improvements to an already accepted limb salvage technique. The purpose of this article was to describe the indications, contraindications, intraoperative technique and postoperative management of the vertical contour calcanectomy for patients who present with heel ulcers in the limb salvage setting.Abstract: Copyright (c) 2018. Published by Elsevier Inc.

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