Infected open calcaneal fractures – A delayed reconstruction technique using calcium sulphate and hydroxyapatite antibiotic elucidating void filler

Abstract Treating open calcaneal fractures remains challenging, particularly when involving bone loss and infection. Case We present the case of a 25-year-old woman who sustained an open AO 83-C2 calcaneal fracture with subsequent necrosis and presumed infection. Superseding necrosis and bone loss complicated the plan for definitive fixation. Residual bone was stabilised with Kirshner-wires and the void filled with a calcium sulphate and hydroxyapatite spacer, facilitating delayed surgical reconstruction. Conclusion Using calcium sulphate and hydroxyapatite spacer, as part of a 2-stage process represents a strategy in the treatment of complex calcaneal fractures with possible infection, and bone and soft tissue loss. Level of clinical evidence 4.