Management of chronic calcaneal osteomyelitis with pull-through abductor hallucis muscle flap - a report of three cases

Celik M., Buyukcayir I., Ersu G., Kesim S.

EUROPEAN JOURNAL OF PLASTIC SURGERY, cilt.20, sa.4, ss.214-216, 1997 (SCI İndekslerine Giren Dergi) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 20 Konu: 4
  • Basım Tarihi: 1997
  • Doi Numarası: 10.1007/bf01152197
  • Sayfa Sayıları: ss.214-216


Three patients who had chronic osteomyelitis of the calcaneus were treated with radical debridement of all involved soft tissue and bone and obliteration of dead space with a pull-through abductor hallucis brevis muscle flap. Two patients had calcaneal osteomyelitis without soft tissue loss resulting from previous comminuted calcaneal fractures while a third patient had a large soft tissue defect and calcaneal osteomyelitis resulting from a destructive infection. All of the patients had undergone several surgical procedures for treatment of the osteomyelitis with histories ranging 18 months to 30 months. Following treatment with the pull-through muscle flap there has been no recurrence over the longterm (>two years). We believe that radical removal of all contaminated tissue and immediately coverage with a muscle flap provides an effective single stage treatment of chronic calcaneal osteomyelitis.