gms | German Medical Science


Figure 2: a. Lateral calcaneal CT scan after local surgical infect eradication. Extended calcaneal bone defect with additional destruction of the subtalar joint.

b. Clinical presentation of the remaining local soft tissue lesion.

Due to the extent of the bone and soft tissue lesion decision to proceed in a two step therapy. First: Reconstruction of the soft tissue. Second: Reconstruction of the os calcis.

The waiver of using a composite flap in a one step procedure in our opinion leads to a more accurate positioning of the bone graft due to the fact, that we do not have to focus on the perforator vessels connecting soft tissue and bone in these composite flaps.