Clinical and functional outcomes of the silo technique in the management of diabetic calcaneal osteomyelitis.

ABSTRACT:

Background

Partial calcanectomy is an established alternative to amputation in diabetic calcaneal osteomyelitis, with recent studies utilising adjuvant local antibiotic delivery devices to improve outcomes. The Silo technique is a novel approach involving an antibiotic-loaded hydroxyapatite calcium sulphate bioceramic (Cerament G or V) implanted into pre-drilled holes in the calcaneus.

Method

This retrospective case series involved 30 patients with chronic diabetic calcaneal osteomyelitis that underwent partial calcanectomy with Cerament G or V application via the Silo technique between 2014 and 2024. Patients were further followed up on their ambulatory status via telephone consultation. Primary outcomes were infection eradication, ulcer healing, limb salvage, patient morta

SUBMITTER: Nurhashim N 

PROVIDER: S-EPMC12581439 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature