Primary arthrodesis and sural artery flap coverage for subtalar joint osteomyelitis in a diabetic patient

Clin Podiatr Med Surg. 2011 Apr;28(2):421-7, ix. doi: 10.1016/j.cpm.2011.02.003.

Abstract

Diabetic chronic wounds with joint sepsis and osteomyelitis of the hindfoot can be difficult pathologic entities to treat. Limb salvage approaches are based on careful preoperative evaluation, surgical technique, and postoperative care. This article reviews the overall management of subtalar joint osteomyelitis with a case report showing primary arthrodesis with external fixation and soft tissue coverage with a reverse sural artery neurofasciocutaneous flap.

Publication types

  • Case Reports

MeSH terms

  • Arthrodesis / methods*
  • Diabetic Foot / complications
  • Diabetic Foot / surgery*
  • External Fixators
  • Humans
  • Limb Salvage / methods*
  • Male
  • Middle Aged
  • Osteomyelitis / etiology
  • Osteomyelitis / surgery*
  • Subtalar Joint* / blood supply
  • Surgical Flaps*