Composite free fibula flap and bone allograft for calcaneus reconstruction: A rare case
Calcaneus sarcomas are extremely rare, but often nefarious. Its weight-bearing function makes reconstruction after calcanectomy exceptionally difficult, demanding a solid, stable and well-padded substrate. We report a 69 years-old female with a rare small-round-cell sarcoma in her left ankle, submit...
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| Language: | English |
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Elsevier
2025-06-01
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| Series: | JPRAS Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352587825000488 |
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| author | Gonçalo Tomé Dmitry Shelepenko José M. Azevedo Inês Catalão Carla Diogo |
| author_facet | Gonçalo Tomé Dmitry Shelepenko José M. Azevedo Inês Catalão Carla Diogo |
| author_sort | Gonçalo Tomé |
| collection | DOAJ |
| description | Calcaneus sarcomas are extremely rare, but often nefarious. Its weight-bearing function makes reconstruction after calcanectomy exceptionally difficult, demanding a solid, stable and well-padded substrate. We report a 69 years-old female with a rare small-round-cell sarcoma in her left ankle, submitted to total calcanectomy and reconstruction with a composite calcaneus allograft and free fibula flap. After 36 months, the bone healed evenly with no limitations in her daily life. This advantageous combination of vascularized bone with allograft, allowed biological integration with the strengthful external construct, representing one of the best limb-sparing options for the calcaneus. |
| format | Article |
| id | doaj-art-8ac6f8e14ef74e2e878d43cb1b2b5797 |
| institution | OA Journals |
| issn | 2352-5878 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JPRAS Open |
| spelling | doaj-art-8ac6f8e14ef74e2e878d43cb1b2b57972025-08-20T02:26:09ZengElsevierJPRAS Open2352-58782025-06-014413313810.1016/j.jpra.2025.03.004Composite free fibula flap and bone allograft for calcaneus reconstruction: A rare caseGonçalo Tomé0Dmitry Shelepenko1José M. Azevedo2Inês Catalão3Carla Diogo4Corresponding author.; Plastic and Reconstructive Surgery and Burns Unit, Coimbra Local Health Unit, Coimbra, PortugalPlastic and Reconstructive Surgery and Burns Unit, Coimbra Local Health Unit, Coimbra, PortugalPlastic and Reconstructive Surgery and Burns Unit, Coimbra Local Health Unit, Coimbra, PortugalPlastic and Reconstructive Surgery and Burns Unit, Coimbra Local Health Unit, Coimbra, PortugalPlastic and Reconstructive Surgery and Burns Unit, Coimbra Local Health Unit, Coimbra, PortugalCalcaneus sarcomas are extremely rare, but often nefarious. Its weight-bearing function makes reconstruction after calcanectomy exceptionally difficult, demanding a solid, stable and well-padded substrate. We report a 69 years-old female with a rare small-round-cell sarcoma in her left ankle, submitted to total calcanectomy and reconstruction with a composite calcaneus allograft and free fibula flap. After 36 months, the bone healed evenly with no limitations in her daily life. This advantageous combination of vascularized bone with allograft, allowed biological integration with the strengthful external construct, representing one of the best limb-sparing options for the calcaneus.http://www.sciencedirect.com/science/article/pii/S2352587825000488MicrosurgeryCalcaneusCompositeFibula flapBone allograft |
| spellingShingle | Gonçalo Tomé Dmitry Shelepenko José M. Azevedo Inês Catalão Carla Diogo Composite free fibula flap and bone allograft for calcaneus reconstruction: A rare case JPRAS Open Microsurgery Calcaneus Composite Fibula flap Bone allograft |
| title | Composite free fibula flap and bone allograft for calcaneus reconstruction: A rare case |
| title_full | Composite free fibula flap and bone allograft for calcaneus reconstruction: A rare case |
| title_fullStr | Composite free fibula flap and bone allograft for calcaneus reconstruction: A rare case |
| title_full_unstemmed | Composite free fibula flap and bone allograft for calcaneus reconstruction: A rare case |
| title_short | Composite free fibula flap and bone allograft for calcaneus reconstruction: A rare case |
| title_sort | composite free fibula flap and bone allograft for calcaneus reconstruction a rare case |
| topic | Microsurgery Calcaneus Composite Fibula flap Bone allograft |
| url | http://www.sciencedirect.com/science/article/pii/S2352587825000488 |
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