Because of loss of function and chronic pain total calcanectomy is a serious impairment for the patient. There are few reports concerning replacement procedures using ribs [Brenner P, Zwipp H, Rammelt S. Vascularized double barrel ribs combined with free serratus anterior muscle transfer for homologous restoration of the hindfoot after calcanectomy. J Trauma-Injury Infect Crit Care 2000;49(2):331-5; Lin CH, Wei FC, Levin LS, Su JI. Free composite serratus anterior and rib flaps for tibial composite bone and soft-tissue defect. Past Reconstr Surg 1997;99:1656-65; Moscona RA, Ullmann Y, Hirshowitz B. Free composite serratus anterior muscle-rib flap for reconstruction of severely damaged foot. Ann Plast Surg 1988;20:167-72] or homologeous bone graft [Mankin HJ, Gebhardt MC, Jennings LC, Springfield DS, Tomford WW. Long-term results of allograft replacement in the management of bone tumors. Clin Orthop 1996;324:86-97; Muscolo DL, Miguel AA, Aponte-Tinao A. Long-term results of allograft replacement after total calcanectomy. J Bone Joint Surg Am 2000;82(1):109-12; Ottolenghi CE, Petracchi LJ. Chondromyxosarcoma of the calcaneus; report of a case of total replacement of involved bone with a homogenous refrigerated calcaneus. J Bone Joint Surg 1953;35A(1):211-4]. We report a case of calcaneus replacement by vascularized iliac crest bone.
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