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Partial Calcanectomy in the Treatment of Chronic Heel Ulceration

Sean Lehmann DPM, MHA1, R. Dan Murphy DPM2, and Lawrence Hodor DPM3
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  • 1 Member, American College of Healthcare Executives; submitted during first-year residency, Lakewood Regional Medical Center, Lakewood, CA.
  • | 2 Diplomate, American Board of Podiatric Surgery; Chairman, Podiatric Division, Lakewood Regional Medical Center, Lakewood, CA.
  • | 3 Diplomate, American Board of Podiatric Surgery; Director, Podiatric Medical Education, Lakewood Regional Medical Center, Lakewood, CA. Mailing address: 212 S. Nevada St, Carson City, NV 89703.
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Chronic decubitus ulceration of the heels is a common condition encountered by podiatric physicians, especially in diabetic patients. Very often these ulcerations can progress to osteomyelitis of the calcaneus. Many times, this in turn leads to a below-the-knee amputation. A partial calcanectomy is a viable alternative to below-the-knee amputation. A more functional limb both mechanically and cosmetically is achieved, and the morbidity and mortality associated with the calcanectomy is less than with a below-the-knee amputation. A brief overview of the history and outcomes associated with this procedure is outlined and a case utilizing a partial calcanectomy is presented. (J Am Podiatr Med Assoc 91(7): 369-372, 2001)