Entire calcaneus reconstruction with pedicled composite fibular growth plate flap in a pediatric patient.

Traumatic calcanectomy is a complicated rare condition that results in chronic pain and loss of limb function as the calcaneus is crucial for bearing weight. For an adult, possible treatment options are limited to below knee amputation, bone grafts, and 3D prosthesis; however, for the pediatric population, therapeutic data are scarce. In this case report, the authors describe a technique that provides the possibility for hindfoot reconstruction while maintaining growth potential without traumatizing other anatomic regions.

Reconstruction of the proximal end of the femur after hematogenous osteomyelitis.

We report a method of surgical treatment of sequela of septic hips and osteomyelitis of the proximal end of the femur in seven children. Roentgenologic and clinical studies before operation showed unstable hip with loss of the femoral neck and head. Reconstruction osteotomy of remnants of the neck and/or head of the femur and a callus distraction procedure in the direction of the acetabulum with the Kalnberz external fixation device was performed.