Work

Composite free fibula flap and bone allograft for calcaneus reconstruction: A rare case

Year: 2025

Type: article

Abstract: 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.

Source: JPRAS Open

DOI: 10.1016/j.jpra.2025.03.004

Authors: Gonçalo Tomé, Dmitry Shelepenko, José M. Azevedo, Inês Catalão, Carla Diogo

Institution: Unidade Local de Saúde de Coimbra

Language: English

Topic: Sarcoma Diagnosis and Treatment

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,920