Online Program

Outcomes of the partial calcanectomy based on the amount of calcaneus removed

Tuesday, November 5, 2013 : 9:10 a.m. - 9:30 a.m.

Kelly Powers, DPM, Department of Plastic Surgery, Georgetown University Hospital, Washington, DC
The clinical & surgical management of heel ulcerations signifies a considerable challenge to patients and practitioners. There are various treatment modalities for calcaneal osteomyelitis ranging from local wound care in conjunction with parenteral antibiotics to proximal amputations. A below-knee amputation (BKA) leads to complete eradication of osteomyelitis & historically favorable outcomes, yet denotes loss of limb. The literature is limited when describing the amount of calcaneus removed intra-operatively as compared to need for subsequent proximal surgery. Although the outcomes of the partial calcanectomy procedure in this study shows promise in preventing subsequent proximal amputations, due to the nature of the research design, the results are inconclusive and further study is needed.

Learning Areas:

Provision of health care to the public

Learning Objectives:
Discuss outcomes of partial calcanectomy based on amount of bone removed.

Keyword(s): Ambulatory Care, Diabetes

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a fellow in the department of plastic surgery at Georgetown University Hospital and involved in diabetic limb salvage.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.