New Treatment Strategy for a Delayed Skin Necrosis Related to a Calcaneal Fracture

Konstantinos C. Xarchas*, George Kyriakopoulos, Maria Vlachou, Katerina Manta
Department of Orthopaedics and Trauma, Athens General Hospital G. Gennimatas, Athens, Greece

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© 2017 Xarchas 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: 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 Department of Orthopaedics and Trauma, Athens General Hospital G. Gennimatas, Athens, Greece, Tel: (+0030) 2107768507; E-mail:


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.

Keywords: Calcaneum, Avulsion fracture, Skin necrosis, Infection, Treatment, PRP, VAC.