Debridement of Heel Ulcer and Partial Calcenectomy with Graf

This is a surgical debridement of a large diabetic heel and achilles tendon ulcer. There is osteomyelitis in the calcaneus (bone infection) which required resection of the bone. Antibiotic beads and a Graft Jacket were applied. The Graft Jacket is a Wright Medical product. This is an extensive debridement of the area.

Category:

Science & Technology

Tags:

• Diabetes
• Diabetic Foot Ulcer
• Osteomyelitis
• Bone Infection
• Diabetic Foot Surgery
• Antibiotic Beads
• Graft Jacket
• Calcenectomy
• Foot Surgeon
• Podiatric Surgeon
• Foot Specialist
• Patrick A. DeHeer
• DPM
• Hoosier Foot & Ankle
• Columbus
• Carmel
• Greenwood
• Shelbyville
• Franklin
• Indiana

[gaughane22]

Thanks for the videos Dr. DeHeer, I am a pod student at DMU right now and enjoy seeing these procedures. We don't start our surgical course for another month so I may be jumping the gun, but how did you know how much of the calcaneus to remove?

[padeheer]

@gaughane22 I try to remove enough that there will be adequate soft tissue to cover the area once completely healed and also to remove enough of the infected bone. It is important that you do not have just skin over bone with no fat pad covering. Best wishes.

Dr. Patrick A. DeHeer, DPM

[padeheer]

Thank you for the suggestion. I will try to do that. I just have to remember to video cases more often. Best wishes.

Patrick A. DeHeer, DPM

[Laurecious123]

I wish you could post more videos with progress of the wound healing. for example after first bandages removal, after second etc etc. it would be nice to see the whole thing heal as the time passes.