Osteomielitis crónica de calcáneo: reporte de un caso y revisión de la literatura

Abstract

We present the case of a 38-year-old male patient at the Miguel Hidalgo Hospital Centenario, Aguascalientes, Mexico, with a five-year history of chronic ulcer on the right heel after direct trauma with a sharp object to the involved heel, with history of flap advancement five years ago. Clinical examination with 7 × 5 cm skin loss with purulent exudate and radiological examination revealed an image of hypotrophy of the right calcaneus with sclerosed bone remains and data suggestive of chronic osteomyelitis. After a first intervention with a polymethylmethacrylate + gentamicin cement spacer with a chain technique and calcaneal curettage, as well as taking a culture, the diagnosis was confirmed with isolation of the Escherichia coli lesion and Enterococcus faecalis, but the spacer was rejected, he intervenes again for calcaneal resection. When the wound heals, ankle foot orthosis is indicated and walking is started without pain, and without recurrence of osteomyelitis.