The Open Orthopaedics Journal




ISSN: 1874-3250 ― Volume 12, 2018
CASE REPORT

Pseudarthrosis of the Calcaneus: Advantages of Regenerative Medicine in the Management of a Rare Entity, A Case Report and Review of Literature



Bouaziz Wajdi1, *, Mohamed Ali Rebai1, Walid Baya1, Nabil Krid2, Wassim Zribi1, Hassib Keskes1
1 Department of Orthopedic Surgery and Traumatology, Habib Bourguiba University Hospital Sfax - Tunisia
2 Marechal Leclerc Argentan Hospital - Orthopeadics 47 Rue Aristide Briand, Argentan 61200, France

Abstract

Background:

The follow-up of calcaneal fractures has shown that they are difficult to manage and lead to multiple complications such as malunion and subtalar osteoarthritis. Pseudarthrosis of the calcaneus is an extremely rare complication, which was described in the literature through case reports.

In the existing literature, only seven studies, including thirteen patients have reported the nonunion. However, to the best of our knowledge, no study elucidates the role of new techniques of regenerative medicine such as Bone Marrow Concentrates (BMC) or Platelet Rich Plasma (PRP) in the management.

Methods:

We report a case of a patient with a pseudarthrosis after a calcaneal fracture treated with BMC injection in the non-union site, without the need for surgical approach.

Results:

Four months after treatment, the patient was ambulant without support and was completely pain-free. Moreover, after one year the radiological follow up by CT scan showed a satisfactory filling of the non union.

Conclusion:

In one case, we try to highlight the advantage of our therapeutic alternatives, which are having a good union while avoiding the complications of surgical approaches and without sacrificing the subtalar joint when it is possible.

Keywords: Calcaneus, Pseudarthrosis, Nonunion, Malunion, Bone marrow concentrate, Regenerative.


Article Information


Identifiers and Pagination:

Year: 2018
Volume: 12
First Page: 141
Last Page: 146
Publisher Id: TOORTHJ-12-141
DOI: 10.2174/1874325001812010141

Article History:

Received Date: 29/11/2017
Revision Received Date: 09/02/2018
Acceptance Date: 23/02/2018
Electronic publication date: 30/03/2018

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© 2018 Wajdi et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: (https://creativecommons.org/licenses/by/4.0/legalcode). This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


* Address correspondence to this author at the Department of Orthopedic Surgery and Traumatology, Habib Bourguiba University Hospital, Sfax, Tunisia; Tel: 00216 55304050; E-mail: bouaziz.w@gmail.com


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