Hemicalcaneal reconstruction with a 3D printed custom-made prosthesis after partial calcanectomy due to a malignant bone tumor

Hemicalcaneal reconstruction with a 3D printed custom-made prosthesis after partial calcanectomy due to a malignant bone tumor

Authors

  • Antonio D'Arienzo a:1:{s:5:"en_US";s:67:"1 University of Pisa. Department of Orthopaedics and Trauma Surgery";}
  • Edoardo Ipponi University of Pisa. Department of Orthopaedics and Trauma Surgery
  • Elisa Ferrari University of Pisa. Department of Orthopaedics and Trauma Surgery
  • Francesco Rosario Campo University of Pisa. Department of Orthopaedics and Trauma Surgery
  • Rodolfo Capanna University of Pisa. Department of Orthopaedics and Trauma Surgery
  • Lorenzo Andreani University of Pisa. Department of Orthopaedics and Trauma Surgery

Keywords:

sarcoma, custom made prosthesis, calcaneus

Abstract

The malignant bone tumors of the calcaneus are extremely uncommon lesions. Surgical approach can consist in either an amputation or in a limb sparing procedure, depending on the width and the location of the neoplasm. Although several reconstructive options have been proposed to fulfill the bone defect in those cases that received a selective resection, to this date a consensus reconstructive approach is far from being established. Among the alternatives described in literature, 3D printed custom-made prostheses represent one of the most intriguing and promising reconstructive options.

Herein, we report our experience of a spindle cell bone sarcoma of the calcaneus treated with selective resection of the anterior segment of the calcaneus and further reconstruction with a 3D printed custom-made prosthesis, based on patients’ own anatomy. The posterior calcaneus and the insertion of the Achilles tendon were preserved. The resection was performed with wide margins and no major complication occurred through the intra-operative or post-operative intercourse. At her latest follow-up, our patient showed good functional results and was continuously disease free. Our outcomes therefore suggest that a partial prosthetic replacement of the anterior calcaneus with preservation of the Achilles insertion site may represent a safe and effective solution for cases that required the resection of the anterior calcaneus due to a malignant bone tumor

References

Franchi A. Epidemiology and classification of bone tumors. Clin Cases Miner Bone Metab. 2012 May;9(2):92-5. Epub 2012 Sep 30.

Kilgore WB, Parrish WM. Calcaneal tumors and tumor-like conditions. Foot Ankle Clin. 2005;10:541–565.

Yan L, Zong J, Chu J, Wang W, Li M, Wang X, Song M, Wang S. Primary tumours of the calcaneus. Oncol Lett. 2018 Jun;15(6):8901-8914.

Cribb GL, Loo SC, Dickinson I. Limb salvage for soft-tissue sarcomas of the foot and ankle. J Bone Joint Surg Br. 2010 Mar;92(3):424-9.

Li J, Wang Z. Surgical treatment of malignant tumors of the calcaneus. J Am Podiatr Med Assoc. 2014 Jan-Feb;104(1):71-6.

Yammine K, El-Alam A, Assi C. Outcomes of partial and total calcanectomies for the treatment of diabetic heel ulcers complicated with osteomyelitis. A systematic review and meta-analysis. Foot Ankle Surg. 2021 Aug;27(6):598-605.

Dederer KM, Tennant JN. Anatomical and Functional Considerations in Achilles Tendon Lesions. Foot Ankle Clin. 2019 Sep;24(3):371-385.

Torner F, Nuñez JH, Inarejos Clemente EJ, Garraus M, Suñol M, Martínez AD, Moreno D. Total calcaneal allograft reconstruction of an Ewing's sarcoma in a child: Outcome and review of the literature. Cancer Rep (Hoboken). 2022 Sep;5(9):e1626.

Li J, Guo Z, Pei GX, Wang Z, Chen GJ, Wu ZG. Limb salvage surgery for calcaneal malignancy. J Surg Oncol. 2010 Jul 1;102(1):48-53.

Rosli MA, Wan Ismail WF, Wan Sulaiman WA, Mat Zin NA, Abdul Halim S, Mat Johar F, Mat Saad AZ, Halim AS. Calcaneal Reconstruction With Free Deep Circumflex Iliac Artery Osseocutaneous Flap Following Aggressive Benign Bone Tumor Resection. Foot Ankle Int. 2021 Dec;42(12):1570-1578.

Innocenti M, Lucattelli E, Daolio PA, Bastoni S, Marini E, Scoccianti G, Menichini G. Calcaneal reconstruction after total calcanectomy with iliac crest free flap. Microsurgery. 2019 Nov;39(8):704-709.

Andreani L, Ipponi E, Neri E, Capanna R. 3D printing in orthopedic oncology surgery. Minerva Orthop 2021;72:352-8.

Imanishi J, Choong PF. Three-dimensional printed calcaneal prosthesis following total calcanectomy. Int J Surg Case Rep. 2015;10:83-7.

Park JW, Kang HG, Lim KM, Kim JH, Kim HS. Three-Dimensionally Printed Personalized Implant Design and Reconstructive Surgery for a Bone Tumor of the Calcaneus: A Case Report. JBJS Case Connect. 2018 Apr-Jun;8(2):e25.

Papagelopoulos PJ, Megaloikonomos PD, Korkolopoulou P, Vottis CT, Kontogeorgakos VA, Savvidou OD. Total Calcaneus Resection and Reconstruction Using a 3-dimensional Printed Implant. Orthopedics. 2019 Mar 1;42(2):e282-e287.

Downloads

Published

13-02-2023

How to Cite

1.
D'Arienzo A, Ipponi E, Ferrari E, Campo FR, Capanna R, Andreani L. Hemicalcaneal reconstruction with a 3D printed custom-made prosthesis after partial calcanectomy due to a malignant bone tumor. Acta Biomed [Internet]. 2023 Feb. 13 [cited 2024 Jul. 23];94(S1):e2023012. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/13846