New Treatment Strategy for a Delayed Skin Necrosis Related to a Calcaneal Fracture
Konstantinos C. Xarchas*, George Kyriakopoulos, Maria Vlachou, Katerina Manta
Identifiers and Pagination:Year: 2017
First Page: 1568
Last Page: 1576
Publisher Id: TOORTHJ-11-1568
Article History:Received Date: 21/10/2017
Revision Received Date: 01/12/2017
Acceptance Date: 07/12/2017
Electronic publication date: 29/12/2017
Collection year: 2017
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.
In calcaneal avulsion fractures, skin necrosis as a result of pressure from the underlying fragment is a fairly common and serious complication. In spite of proper treatment, skin healing complication may occur. We report a calcaneal fracture case complicated by skin necrosis and managed with a novel treatment strategy including application of Platelet Rich Plasma (PRP) and Vacuum Assisted Closure (VAC). This is the first application of combined PRP and VAC treatment in a calcaneal fracture complicated by skin necrosis and was accompanied with very favorable outcomes while avoiding other more complex treatment modalities.