Partial calcanectomy in the treatment of chronic heel ulceration

Chronic decubitus ulceration of the heels is a common condition encountered by podiatric physicians, especially in diabetic patients. Very often these ulcerations can progress to osteomyelitis of the calcaneus. Many times, th is in turn leads to a below-the-knee amputation. A partial calcanectomy is a viable alternative to below-the-knee amputation. A more functional limb b oth mechanically and cosmetically is achieved, and the morbidity and mortal ity associated with the calcanectomy is less than with a below-the-knee amp utation. A brief overview of the history and outcomes associated with this procedure is outlined and a case utilizing a partial calcanectomy is presen ted.