Subtotal calcanectomy for osteomyelitis of the os calcis: A reasonable alternative to free tissue transfer

Composite wounds of the heel with secondary osteomyelitis of the calcaneus remain a reconstructive challenge. A paucity of regional flaps has often necessitated microvascular transplantation in order to obtain wound healing. Subtotal calcanectomy, traditionally a technique of the orthopedic surgeon, can, in selected cases, eradicate infection and achieve wound closure and limb preservation, A review was undertaken of one hospital's experience with this procedure over a 4-year period, Five patients with osteomyelitis of the os calcis were identified who were successfully managed with subtotal calcanectomy.