Combined flap with Masquelet technique and 3D-printed titanium cage for reconstruction of traumatic composite heel defects: a case report and literature review - Takeaways - 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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  • 1

    Open calcaneal fractures with significant bone loss and soft tissue damage are rare and pose substantial reconstructive challenges.

  • 2

    A staged surgical approach was utilized, combining emergency debridement, flap reconstruction, and a 3D-printed titanium cage.

  • 3

    The combined flap technique included a pedicled propeller flap and a free anterolateral thigh flap for comprehensive soft tissue coverage.

  • 4

    Postoperative outcomes showed satisfactory healing, with a high AOFAS score of 90 and minimal heel pain impacting daily activities.

  • 5

    This case highlights the effectiveness of integrating the Masquelet technique with 3D printing for reconstructing complex heel defects.

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