gms | German Medical Science


Figure 3: a. Projction radiographical lateral image of the os calcis. Antibiotic chain serves as a spacer for later implantation of bone graft.

b. Clinical presentation after closure of the soft tissue lesion by an ALT flap.

After a 3 months time period without any signs of recurrent infection a partial raise of the ALT flap was proceeded and a micro vascularized iliac crest bone graft was transplanted (anastomosed to the A. tibialis posterior). After bony assimilation of the graft complete weight bearing was achieved after furthes 4 weeks. Today’s situation: Full weight bearing, subtalar arthrodesis, no walking canes, back to work in october 2010