Case Report
1 Postgraduate Trainee, General Surgery, Shifa International Hospital, Islamabad, Capital Territory, Pakistan
2 Consultant/Professor, Plastic Surgery, Shifa International Hospital, Islamabad, Capital Territory, Pakistan
3 Senior Fellow, Plastic Surgery, Shifa International Hospital, Islamabad, Capital Territory, Pakistan
4 Professor and Head of the Department, Orthopaedics, Shifa International Hospital, Islamabad, Capital Territory, Pakistan
Address correspondence to:
Zoha Sajid Qureshi
Postgraduate resident-year 1, General Surgery, Shifa International Hospital, Islamabad,
Pakistan
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Article ID: 101416Z01ZQ2023
Introduction: Ewing’s sarcoma of the calcaneum, although rare, is a significant health threat as it is quick to spread locally and systemically reducing the overall survival rates. Conventionally, below knee amputation was used as its only management. Currently, due to numerous advancements, wide local excision following reconstruction is the treatment of choice worldwide.
Case Report: This case report provides clinical and functional outcomes of using deep circumflex iliac artery bone graft for calcaneal reconstruction. The follow-up duration in our study was two years. Normal ambulatory status, post-procedure, was achieved within nine months with a good range of motion at ankle joint both actively and passively. No donor site morbidity was seen and radiological imaging confirmed a healthy and viable graft with negative oncological margins.
Conclusion: Our choice of graft proved to be a suitable option for calcaneal reconstructions as the curvature of iliac crest resembles calcaneal tuberosity. The ability of its osseous flap to naturally fit the area of defect makes it the most appropriate choice for the reconstruction of the heel of the foot.
Keywords: Calcaneal tumors, Deep circumflex iliac artery bone graft, Ewing’s sarcoma, Limb salvage
Zoha Sajid Qureshi - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Mamoon Rashid - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Sakina Malik - Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Sohail Hafeez - Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Zoha Sajid Qureshi et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.