Tag Archive for: Calcaneum

Resection and Reconstruction of Calcaneal Tumors – A Review

Original Article | Volume 6 | Issue 2 | JBST May-August 2020 | Page 2-4 | Subbiah Shanmugam, Sujay Susikar, Murali Kannan. DOI: 10.13107/jbst.2020.v06i02.22

Author: Subbiah Shanmugam[1], Sujay Susikar[1], Murali Kannan[1]

[1]Department of Surgical Oncology, Associate Professor, Centre for Oncology, Government Royapettah Hospital, Chennai, Tamil Nadu, India.

Address of Correspondence
Dr. Sujay Susikar,
Department of Oncology, Centre for Oncology, Government Royapettah Hospital, Chennai, Tamil Nadu, India.
E-mail: sujaysusikar@gmail.com


Abstract

Introduction: Calcaneum is a rare site for Ewing’s sarcoma. The treatment includes neoadjuvant systemic therapy followed by surgical resection and adjuvant systemic therapy. The reconstruction options in this era of limb salvage for bone tumors are not much established in calcaneal tumors in view of limited reporting. Various other reconstruction options available are allograft, iliac crest autograft, and custom-made prosthesis.
Case Report: We have reported a 13-year-old female patient with Ewing’s sarcoma of calcaneum diagnosed by imaging and biopsy. The patient underwent neoadjuvant chemotherapy and then had undergone total calcanectomy with allograft reconstruction. The post-operative outcomes are fair, and the patient is on adjuvant chemotherapy at present.
Conclusion: Biological reconstruction in the form of allograft is a reliable option with regard to the functional outcomes for calcaneal resections.
Keywords: Calcaneum, Ewing sarcoma, total calcanectomy, allograft.


Reference:
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2. Imanishi J, Choong PF. Three-dimensional printed calcaneal prosthesis following total calcanectomy. Int J Surg Case Rep 2015;10:83-7.
3. Ottolenghi CE, Petracchi LJ. Chondromyxosarcoma of the calcaneus; report of a case of total replacement of involved bone with a homogenous refrigerated calcaneus. J Bone Joint Surg 1953;35:211-4.
4. Scoccianti G, Campanacci DA, Innocenti M, Beltrami G, Capanna R. Total calcanectomy and reconstruction with vascularized iliac bone graft for osteoblastoma: A report of two cases. Foot Ankle Int 2009;30:716-20.
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9. Elsalanty ME, Genecov DG. Bone grafts in craniofacial surgery. Craniomaxillofac Trauma Reconstr 2009;2:125-34.
10. Chou LB, Malawer MM. Osteosarcoma of the calcaneus treated with prosthetic replacement with twelve years of follow up: A case report. Foot Ankle Int 2007;28:841-4.


How to Cite this article: Shanmugam S, Susikar S, Kannan M | Resection and Reconstruction of Calcaneal Tumors – A Review | Journal of Bone and Soft Tissue Tumors | May-August 2020; 6(2): 2-4.

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PVNS talus in a patient treated for chondral lesion in ipsilateral calcaneum: A case report and review of literature

Vol 3 | Issue 2 | Sep-Dec 2017 | Page 10-13 | Apurv Gabrani, Hitesh Dawar, Deepak Raina, Surbhit Rastogi


Authors: Apurv Gabrani [1], Hitesh Dawar [1], Deepak Raina [1], Surbhit Rastogi [1].

[1] Indian Spinal Injuries Centre, New Delhi.

Address of Correspondence
Dr . Apurv Gabrani
Ah-22, Shalimar Bagh, New Delhi-110088
Email: apurvgabrani@gmail.com


Abstract

Introduction: PVNS is a locally aggressive synovial proliferative disorder of unknown etiology and has been described in the foot and ankle in previous literature. A case of PVNS in the talus has been described in a patient treated for ipsilateral calcaneal chondral lesion.
Case Report: A 56 year old male presented with pain in his left ankle of 4 months duration. On investigation, he was found to have a well defined lytic lesion in the left calcaneum on x-ray. MRI showed a hyper intense lesion on T2WI. A needle biopsy revealed chondrogenic tumor which was managed by extended curettage. At 12 months follow up, patient presented with recent onset pain over the anterior aspect of left ankle which showed hypo density over the supero-anterior aspect of the talus and MRI showed ill defined hypo intense lesion on T2WI and hyper intense lesion on T1WI. The lesion increased in size on repeat MRI 6 weeks later. He was managed with synovectomy and debridement with core needle biopsy of talus. Histopathological examination revealed features consistent with PVNS. Patient remains asymptomatic at 1 year follow up after surgery.
Conclusion: A double primary lesion although rare, does exist and any recurrence should be viewed at with equal degree of suspicion as the primary lesion.
Keywords: Pigmented villonodular synovitis (PVNS), Talus, Calcaneum, Double Primary lesion, Chondral lesion.


References

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How to Cite this article: Gabrani A, Dawar H, Raina D, Rastogi S. PVNS talus in a patient treated for chondral lesion in ipsilateral calcaneum: A case report and review of literature. Journal of Bone and Soft Tissue Tumors Sep-Dec 2017;3(2): 10-13.

 



             

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