Osteotomy of resection assessment for the calcaneal planing in prevention and treatment of complications after surgical flap

Abstract

OBJECTIVE: The aim of our study is to evaluate the resection osteotomy results for planing of the calcaneus in the prevention and treatment of complications after skin coverage in cases of open fracture of the calcaneus or loss of substance.
METHODS: Cross-sectional study, case series with convenience sample, which was conducted by reviewing Clinical Hospital patient records from Federal University of Goyaz from 2000 to 2015. The data were collected and stored in Windows Excel version 2010, and the statistical analysis descriptively in frequency tables.
RESULTS: Seven patients underwent resection osteotomy for leveling the calcaneus were analyzed and three female (43%) and four men (57%) with a mean age of 36 years, ranging from 21 to 50 years. Four cases (57%) had chronic complications and in three (43%), was performed by the surgycal flap at first. Follow-up time ranged from 6 months to 5 years (mean 3,2 years). In the four chronic cases, three had plantar ulcers and fistulas, and one patient with plantar pain, discomfort during walking and feeling of sliding the calcaneus cushion. In the three acute cases, all were open fractures Gustillo IIIB, and osteotomy resection performed along with the surgycal flaps in the initial procedure.
CONCLUSION: Osteotomy resection for planing of the calcaneus after surgycal flaps proved to be a suitable technique for both the treatment of complications such as ulcers, fistulas and chronic pain, and for the prevention of complications when performed along with the flap primary coverage favoring adequate accommodation of the same.