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CASE 18: Ewing sarcoma located in the heel (calcaneus)
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Our young female patient underwent calcanectomy following chemotherapy for Ewing sarcoma located in the calcaneus, and was then resuscitated with liquid nitrogen.
Before the surgery: X-ray shows irregularity and damage to the calcaneus.
Before the surgery: MRI shows heterogeneous tumor tissue and surrounding edema located inferomedially to the calcaneus.
During the Surgery: The incision line and the space created after calcanectomy are visible.
During the Surgery: Clinical image of the removed cancerous calcaneus.
During the Surgery: Clinical and fluoroscopy images of the calcaneus after curettage of the tumor.
During the Surgery: Following calcaneus cavities formed after recovery with liquid nitrogen, arthrodesis is performed first with temporary K-wires and then with cannulated screws.
Post-Surgery: The X-ray shows the calcaneus being recovered and filled with cement, undergoing arthrodesis with cannulated screws, and anchor placement for Achilles tendon suture.
