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Partial Calcanectomy for the Treatment of Recalcitrant Heel Ulcerations

David B. Randall, DPM ^*, John Phillips, DPM  and Goffredo Ianiro, DPM 

^* Cherokee Nation, Diabetes Program/Health Department, Hastings Indian Medical Center, Tahlequah, OK.
Private practice, Marysville, OH.
Millcreek Community Hospital Podiatric Surgical Residency Program, Erie, PA.

Corresponding author: David B. Randall, DPM, Cherokee Nation, Diabetes Program/Health Department, Hastings Indian Medical Center, 100 S Bliss Ave, Tahlequah, OK 74464.

Abstract

Pressure ulcers of the heel are a major and growing health-care problem. Although prevention and aggressive local wound care and pressure reduction remain the gold standard for treatment of most heel ulcers, recalcitrant wounds may require surgical intervention. Limb salvage when dealing with heel ulcers remains a challenge. Nine feet (eight patients) that underwent partial calcanectomy for chronic nonhealing heel ulcers were evaluated retrospectively. Complete healing occurred in seven of nine feet. Patients who were ambulatory before surgery remained ambulatory after healing. (J Am Podiatr Med Assoc 95(4): 335–341, 2005)