{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:43:45Z","timestamp":1787755425593,"version":"build-2784847793"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>Chronic calcaneal osteomyelitis involving the Achilles tendon is rare. A 50-year-old man presented with a nonhealing posterior heel wound and persistent discharge after multiple surgeries, resulting in complete tendon loss. Imaging confirmed osteomyelitis. He underwent staged management with radical debridement and antibiotic-impregnated polymethylmethacrylate beads, followed by removal. No further reconstruction of the Achilles tendon was performed, yet the patient had restored plantarflexion and functional gait.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Aggressive debridement and staged local antibiotics are essential. Functional ambulation can be preserved despite Achilles tendon loss, supporting limb salvage as the primary goal.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.26.00105","type":"journal-article","created":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T09:58:43Z","timestamp":1778579923000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Staged Surgical Management of Chronic Calcaneal Osteomyelitis with Achilles Tendon Loss"],"prefix":"10.2106","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7702-4305","authenticated-orcid":false,"given":"Andi Praja Wira Yudha","family":"Luthfi","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Traumatology, Bhayangkara Tk.I Pusdokkes Polri Hospital, Jakarta, Indonesia"},{"name":"Department of Orthopedic and Traumatology, Gatam Institute, Eka Hospital, Tangerang, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5172-0517","authenticated-orcid":false,"given":"Audie","family":"Djiady","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Science Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6248-3318","authenticated-orcid":false,"given":"Carmen Claude","family":"Margo","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Science Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7306-9752","authenticated-orcid":false,"given":"Karina Sylvana","family":"Gani","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Traumatology, Gatam Institute, Eka Hospital, Tangerang, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3904-0232","authenticated-orcid":false,"given":"Mitchel","family":"Mitchel","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Traumatology, Gatam Institute, Eka Hospital, Tangerang, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4326-8205","authenticated-orcid":false,"given":"Erica","family":"Kholinne","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Traumatology, Gatam Institute, Eka Hospital, Tangerang, Indonesia"},{"name":"Department of Surgery, Faculty of Medicine, Universitas Trisakti, Jakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4]]},"reference":[{"issue":"1","key":"bib1-20260515","doi-asserted-by":"crossref","first-page":"4","DOI":"10.5334\/jbsr.4208","article-title":"Chronic calcaneal osteomyelitis due to a retained coral fragment: an unusual cause of heel pain","volume":"110","author":"Abelkis","year":"2026","journal-title":"J Belgian Soc Radiol."},{"issue":"6","key":"bib2-20260515","first-page":"627","article-title":"Postoperative chronic osteomyelitis in the long bones\u2014current knowledge and management of the problem","volume":"54","author":"Heitzmann","year":"2019","journal-title":"Rev Bras Ortop."},{"issue":"1","key":"bib3-20260515","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1016\/j.mcna.2023.05.022","article-title":"Chronic recurrent multifocal osteomyelitis","volume":"108","author":"Rafferty","year":"2024","journal-title":"Med Clin North Am."},{"issue":"1","key":"bib4-20260515","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1186\/s12879-021-06274-6","article-title":"What is the burden of osteomyelitis in Germany? 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