Combined flap with Masquelet technique and 3D-printed titanium cage for reconstruction of traumatic composite heel defects: a case report and literature review - Summary - MDSpire

Combined flap with Masquelet technique and 3D-printed titanium cage for reconstruction of traumatic composite heel defects: a case report and literature review

  • By

  • Junhong Chen

  • Xiaojun Yu

  • Xulin Zhang

  • Qingshan Li

  • Zhiqiang Wang

  • May 7, 2026

  • 0 min

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Objective:

To report a case of extensive soft tissue and bone defects in the heel and ankle, managed through a combined surgical approach, and to review existing literature on similar reconstructive strategies.

Key Findings:
  • Successful reconstruction of a complex heel defect using a combined flap technique and a 3D-printed titanium prosthesis.
  • One-year follow-up showed satisfactory prosthesis positioning, acceptable foot contour, and functional outcomes.
  • The patient achieved an AOFAS score of 90 and a Maryland Foot Score of 89, with mild heel pain during weight-bearing.
Interpretation:

The integration of the Masquelet technique, 3D-printed prostheses, and microsurgical flaps offers a promising strategy for reconstructing complex heel defects, balancing infection control and functional restoration.

Limitations:
  • The case study is singular and may not represent broader applicability.
  • Long-term outcomes and potential complications of the combined technique require further investigation.
Conclusion:

This case highlights the effectiveness of a multidisciplinary approach in managing severe heel injuries, providing a framework for future clinical applications.

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