慢性跟骨髓炎伴跟腱丧失的分阶段手术治疗1例。

Q4 Medicine

JBJS case connector Pub Date : 2026-05-08 eCollection Date: 2026-04-01 DOI:10.2106/JBJS.CC.26.00105

Andi Praja Wira Yudha Luthfi, Audie Djiady, Carmen Claude Margo, Karina Sylvana Gani, Mitchel Mitchel, Erica Kholinne

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引用次数: 0

摘要

病例：慢性跟骨髓炎累及跟腱是罕见的。一名50岁的男性，多次手术后脚跟后伤口未愈合，持续放电，导致肌腱完全丢失。影像学证实骨髓炎。他接受了分阶段的治疗，包括根治性清创和浸渍抗生素的聚甲基丙烯酸甲酯微球，随后进行了切除。没有进行进一步的跟腱重建，但患者已经恢复了跖屈和功能步态。结论：积极清创和分期局部抗生素治疗是必要的。尽管跟腱丧失，但仍可保留功能活动，支持残肢作为主要目标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Staged Surgical Management of Chronic Calcaneal Osteomyelitis with Achilles Tendon Loss: A Case Report.

Case: Chronic calcaneal osteomyelitis involving the Achilles tendon is rare. A 50-year-old man presented with a nonhealing posterior heel wound and persistent discharge after multiple surgeries, resulting in complete tendon loss. Imaging confirmed osteomyelitis. He underwent staged management with radical debridement and antibiotic-impregnated polymethylmethacrylate beads, followed by removal. No further reconstruction of the Achilles tendon was performed, yet the patient had restored plantarflexion and functional gait.

Conclusion: Aggressive debridement and staged local antibiotics are essential. Functional ambulation can be preserved despite Achilles tendon loss, supporting limb salvage as the primary goal.

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.