{"id":"https://openalex.org/W7204187172","doi":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20262928","title":"From a small heel lesion to calcaneal exposure in diabetic heel salvage complicated by ischemia and infection: a case report","display_name":"From a small heel lesion to calcaneal exposure in diabetic heel salvage complicated by ischemia and infection: a case report","publication_year":2026,"publication_date":"2026-08-25","ids":{"openalex":"https://openalex.org/W7204187172","doi":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20262928"},"language":"en","primary_location":{"id":"doi:10.18203/issn.2455-4510.intjresorthop20262928","doi":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20262928","is_oa":true,"landing_page_url":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20262928","pdf_url":"https://www.ijoro.org/index.php/ijoro/article/download/4486/2473","source":{"id":"https://openalex.org/S2764883244","display_name":"International Journal of Research in Orthopaedics","issn_l":"2455-4510","issn":["2455-4510"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4322697004","host_organization_name":"Medip Academy","host_organization_lineage":["https://openalex.org/P4322697004"],"host_organization_lineage_names":["Medip Academy"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Research in Orthopaedics","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.ijoro.org/index.php/ijoro/article/download/4486/2473","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5025038726","display_name":"Ahmed Al-Aufi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210120130","display_name":"Khoula Hospital","ror":"https://ror.org/02v6ptf51","country_code":"OM","type":"healthcare","lineage":["https://openalex.org/I4210120130"]}],"countries":["OM"],"is_corresponding":false,"raw_author_name":"Ahmed Al-Aufi","raw_affiliation_strings":["Department of General Surgery, Khoula Hospital, Muscat, Oman"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of General Surgery, Khoula Hospital, Muscat, Oman","institution_ids":["https://openalex.org/I4210120130"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5134713022","display_name":"Ali Kashoob","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210120130","display_name":"Khoula Hospital","ror":"https://ror.org/02v6ptf51","country_code":"OM","type":"healthcare","lineage":["https://openalex.org/I4210120130"]}],"countries":["OM"],"is_corresponding":false,"raw_author_name":"Ali Kashoob","raw_affiliation_strings":["Department of Orthopedic Surgery, Khoula Hospital, Muscat, Oman"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedic Surgery, Khoula Hospital, Muscat, Oman","institution_ids":["https://openalex.org/I4210120130"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027689567","display_name":"Ahmed M. Al-Barwani","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210120130","display_name":"Khoula Hospital","ror":"https://ror.org/02v6ptf51","country_code":"OM","type":"healthcare","lineage":["https://openalex.org/I4210120130"]}],"countries":["OM"],"is_corresponding":false,"raw_author_name":"Ahmed Al-Barwani","raw_affiliation_strings":["Department of Orthopedic Surgery, Khoula Hospital, Muscat, Oman"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedic Surgery, Khoula Hospital, Muscat, Oman","institution_ids":["https://openalex.org/I4210120130"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5035420178","display_name":"Abdullah Al Lawati","orcid":"https://orcid.org/0000-0002-5650-6620","observed_orcids":["https://orcid.org/0000-0002-5650-6620"]},"institutions":[{"id":"https://openalex.org/I4210145880","display_name":"Sultan Qaboos University Hospital","ror":"https://ror.org/049xx5c95","country_code":"OM","type":"healthcare","lineage":["https://openalex.org/I4210145880"]}],"countries":["OM"],"is_corresponding":false,"raw_author_name":"Abdullah Al Lawati","raw_affiliation_strings":["Plastic Surgery Unit, Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Plastic Surgery Unit, Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman","institution_ids":["https://openalex.org/I4210145880"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5128185072","display_name":"Moath A Shummo","orcid":"https://orcid.org/0009-0007-5868-7561","observed_orcids":["https://orcid.org/0009-0007-5868-7561"]},"institutions":[{"id":"https://openalex.org/I4210145880","display_name":"Sultan Qaboos University Hospital","ror":"https://ror.org/049xx5c95","country_code":"OM","type":"healthcare","lineage":["https://openalex.org/I4210145880"]}],"countries":["OM"],"is_corresponding":false,"raw_author_name":"Moath Shummo","raw_affiliation_strings":["Plastic Surgery Unit, Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Plastic Surgery Unit, Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman","institution_ids":["https://openalex.org/I4210145880"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5120795058","display_name":"Nawaf Al Muqaimi","orcid":"https://orcid.org/0009-0003-8337-0030","observed_orcids":["https://orcid.org/0009-0003-8337-0030"]},"institutions":[{"id":"https://openalex.org/I4210145880","display_name":"Sultan Qaboos University Hospital","ror":"https://ror.org/049xx5c95","country_code":"OM","type":"healthcare","lineage":["https://openalex.org/I4210145880"]}],"countries":["OM"],"is_corresponding":false,"raw_author_name":"Nawaf Al-Muqaimi","raw_affiliation_strings":["Plastic Surgery Unit, Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Plastic Surgery Unit, Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman","institution_ids":["https://openalex.org/I4210145880"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5129681152","display_name":"Marwa Al Badi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210145880","display_name":"Sultan Qaboos University Hospital","ror":"https://ror.org/049xx5c95","country_code":"OM","type":"healthcare","lineage":["https://openalex.org/I4210145880"]}],"countries":["OM"],"is_corresponding":false,"raw_author_name":"Marwa Al Badi","raw_affiliation_strings":["Plastic Surgery Unit, Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Plastic Surgery Unit, Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman","institution_ids":["https://openalex.org/I4210145880"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5129677065","display_name":"Asmaa Al Furqani","orcid":"https://orcid.org/0009-0002-9584-817X","observed_orcids":["https://orcid.org/0009-0002-9584-817X"]},"institutions":[{"id":"https://openalex.org/I4210145880","display_name":"Sultan Qaboos University Hospital","ror":"https://ror.org/049xx5c95","country_code":"OM","type":"healthcare","lineage":["https://openalex.org/I4210145880"]}],"countries":["OM"],"is_corresponding":false,"raw_author_name":"Asmaa Al Furqani","raw_affiliation_strings":["Plastic Surgery Unit, Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Plastic Surgery Unit, Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman","institution_ids":["https://openalex.org/I4210145880"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5056757494","display_name":"Yahya Alrashdi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210120130","display_name":"Khoula Hospital","ror":"https://ror.org/02v6ptf51","country_code":"OM","type":"healthcare","lineage":["https://openalex.org/I4210120130"]}],"countries":["OM"],"is_corresponding":false,"raw_author_name":"Yahya AlRashdi","raw_affiliation_strings":["Clinical Pharmacy Section, Khoula Hospital, Muscat, Oman"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Pharmacy Section, Khoula Hospital, Muscat, Oman","institution_ids":["https://openalex.org/I4210120130"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.57765227,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"12","issue":"5","first_page":"1513","last_page":"1516"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11227","display_name":"Diabetic Foot Ulcer Assessment and Management","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11227","display_name":"Diabetic Foot Ulcer Assessment and Management","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10926","display_name":"Peripheral Artery Disease Management","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10455","display_name":"Foot and Ankle Surgery","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/diabetic-foot","display_name":"diabetic foot","score":0.4950000047683716},{"id":"https://openalex.org/keywords/peripheral-arterial-disease","display_name":"peripheral arterial disease","score":0.7599999904632568},{"id":"https://openalex.org/keywords/toe-brachial-index","display_name":"toe-brachial index","score":0.9079999923706055},{"id":"https://openalex.org/keywords/distal-perfusion","display_name":"distal perfusion","score":0.7900000214576721},{"id":"https://openalex.org/keywords/limb-salvage","display_name":"limb salvage","score":0.7200000286102295},{"id":"https://openalex.org/keywords/revascularization","display_name":"revascularization","score":0.8820000290870667},{"id":"https://openalex.org/keywords/debridement","display_name":"debridement","score":0.8289999961853027},{"id":"https://openalex.org/keywords/wound-infection","display_name":"wound infection","score":0.6740000247955322},{"id":"https://openalex.org/keywords/negative-pressure-wound-therapy","display_name":"negative pressure wound therapy","score":0.878000020980835},{"id":"https://openalex.org/keywords/antibiotic-therapy","display_name":"antibiotic therapy","score":0.5580000281333923}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9781000018119812},{"id":"https://openalex.org/C2777248721","wikidata":"https://www.wikidata.org/wiki/Q174647","display_name":"Heel","level":2,"score":0.8428000211715698},{"id":"https://openalex.org/C2781156865","wikidata":"https://www.wikidata.org/wiki/Q827023","display_name":"Lesion","level":2,"score":0.7050999999046326},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6549999713897705},{"id":"https://openalex.org/C541997718","wikidata":"https://www.wikidata.org/wiki/Q188151","display_name":"Ischemia","level":2,"score":0.6481999754905701},{"id":"https://openalex.org/C2781099653","wikidata":"https://www.wikidata.org/wiki/Q7316059","display_name":"Critical limb ischemia","level":4,"score":0.5559999942779541},{"id":"https://openalex.org/C2777858829","wikidata":"https://www.wikidata.org/wiki/Q52856","display_name":"Diabetic foot","level":3,"score":0.4471000134944916},{"id":"https://openalex.org/C2780643987","wikidata":"https://www.wikidata.org/wiki/Q468414","display_name":"Angiography","level":2,"score":0.44519999623298645},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.4246000051498413},{"id":"https://openalex.org/C503630168","wikidata":"https://www.wikidata.org/wiki/Q178069","display_name":"Necrosis","level":2,"score":0.38119998574256897},{"id":"https://openalex.org/C2776204877","wikidata":"https://www.wikidata.org/wiki/Q477415","display_name":"Amputation","level":2,"score":0.36959999799728394},{"id":"https://openalex.org/C2777466421","wikidata":"https://www.wikidata.org/wiki/Q1266890","display_name":"Vascular disease","level":2,"score":0.33980000019073486},{"id":"https://openalex.org/C146957229","wikidata":"https://www.wikidata.org/wiki/Q1266915","display_name":"Perfusion","level":2,"score":0.31610000133514404},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.30410000681877136},{"id":"https://openalex.org/C3018348675","wikidata":"https://www.wikidata.org/wiki/Q4797557","display_name":"Arterial disease","level":3,"score":0.2888999879360199},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.2824000120162964},{"id":"https://openalex.org/C2779903281","wikidata":"https://www.wikidata.org/wiki/Q6888026","display_name":"Modalities","level":2,"score":0.2797999978065491}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.18203/issn.2455-4510.intjresorthop20262928","doi":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20262928","is_oa":true,"landing_page_url":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20262928","pdf_url":"https://www.ijoro.org/index.php/ijoro/article/download/4486/2473","source":{"id":"https://openalex.org/S2764883244","display_name":"International Journal of Research in Orthopaedics","issn_l":"2455-4510","issn":["2455-4510"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4322697004","host_organization_name":"Medip Academy","host_organization_lineage":["https://openalex.org/P4322697004"],"host_organization_lineage_names":["Medip Academy"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Research in Orthopaedics","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.18203/issn.2455-4510.intjresorthop20262928","doi":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20262928","is_oa":true,"landing_page_url":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20262928","pdf_url":"https://www.ijoro.org/index.php/ijoro/article/download/4486/2473","source":{"id":"https://openalex.org/S2764883244","display_name":"International Journal of Research in Orthopaedics","issn_l":"2455-4510","issn":["2455-4510"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4322697004","host_organization_name":"Medip Academy","host_organization_lineage":["https://openalex.org/P4322697004"],"host_organization_lineage_names":["Medip Academy"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Research in Orthopaedics","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204187172.pdf","grobid_xml":"https://content.openalex.org/works/W7204187172.grobid-xml"},"referenced_works_count":11,"referenced_works":["https://openalex.org/W1979008336","https://openalex.org/W1983477034","https://openalex.org/W2020752464","https://openalex.org/W2135233586","https://openalex.org/W2148759729","https://openalex.org/W2261074806","https://openalex.org/W2790092059","https://openalex.org/W2953327467","https://openalex.org/W2970277255","https://openalex.org/W2999937316","https://openalex.org/W3206629031"],"related_works":["https://openalex.org/W4380886645","https://openalex.org/W2167830327","https://openalex.org/W1993055805","https://openalex.org/W2991454373","https://openalex.org/W7202360968","https://openalex.org/W4283167813","https://openalex.org/W7220591084","https://openalex.org/W4386272054","https://openalex.org/W7220302982","https://openalex.org/W2810368090"],"abstract_inverted_index":{"Heel":[0],"ulcers":[1],"are":[2],"among":[3],"the":[4,60,71,154,196],"most":[5],"threatening":[6],"manifestations":[7],"of":[8,16,37,44,62,78,86,148,159,195],"diabetic":[9,160],"foot":[10],"disease":[11],"due":[12],"to":[13,49],"their":[14,19,27],"lack":[15],"soft-tissue":[17],"coverage,":[18],"critical":[20],"location,":[21],"which":[22],"causes":[23],"constant":[24],"loading,":[25],"and":[26,66,131,139,151,163,175],"reliance":[28],"on":[29],"distal":[30,63],"perfusion.":[31],"We":[32,74],"report":[33,75],"an":[34,55],"unusual":[35],"case":[36,77],"a":[38,45,67,76,79,87],"woman":[39],"who":[40,82],"experienced":[41,83],"rapid":[42,84],"progression":[43,85],"right":[46,91],"heel":[47,161],"lesion":[48,88],"necrosis":[50,96],"with":[51,97,146],"calcaneal":[52,98],"exposure":[53],"despite":[54],"assuring":[56],"ankle-brachial":[57,101],"index,":[58],"highlighting":[59],"importance":[61],"perfusion":[64],"assessment":[65],"multimodality":[68],"approach":[69],"in":[70,89],"diagnostic":[72,197],"workup.":[73,198],"54-year-old":[80],"female":[81],"her":[90,109,125,149],"heel,":[92,150],"eventually":[93,144],"manifesting":[94],"as":[95,186,193],"exposure.":[99],"Her":[100],"index":[102,111],"was":[103,112],"within":[104],"normal":[105,181],"limits":[106],"(0.92),":[107],"but":[108],"toe-brachial":[110],"critically":[113],"low":[114],"(0.14).":[115],"CT":[116],"angiography":[117],"confirmed":[118],"severe":[119],"peripheral":[120],"arterial":[121],"disease.":[122],"As":[123],"such,":[124,187],"treatment":[126],"involved":[127],"staged":[128],"revascularization,":[129,171],"debridement,":[130,172],"partial":[132],"calcanectomy.":[133],"Additionally,":[134],"she":[135],"received":[136],"culture-directed":[137],"antibiotics":[138],"negative-pressure":[140],"wound":[141,173],"therapy.":[142],"She":[143],"recovered":[145],"improvement":[147],"thus":[152],"avoided":[153],"need":[155],"for":[156],"amputation.":[157],"Management":[158],"ischemia":[162],"successful":[164],"limb":[165],"salvage":[166],"requires":[167],"multiple":[168],"interventions,":[169],"including":[170],"stabilization,":[174],"infection":[176],"control":[177],"through":[178],"antibiotics.":[179],"A":[180],"ABI":[182],"may":[183],"be":[184,191],"misleading;":[185],"other":[188],"modalities":[189],"should":[190],"used":[192],"part":[194]},"counts_by_year":[],"updated_date":"2026-11-01T11:40:01.658920","created_date":"2026-08-26T00:00:00"}
