Calabrò Davide, Meliadò Giuseppe, Biasi Michele, Topa Gaetano, Campo Francesco, Fusini Federico
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Department of Orthopaedics and Traumatology of hospital "Bianchi-Melacrino-Morelli", Reggio Calabria.
Acta Biomed. 2018 Mar 27;89(1):109-113. doi: 10.23750/abm.v89i1.6178.
Total traumatic extrusion of talus with interruption of all ligaments (missing talus) is a very rare injury. We represent the case of a 44-years-old male who reported total extrusion of talus and Lisfranc dislocation after a motorbike accident. This rare injury has a wide choice of treatment but usually there is not a successful functional restore.
We decided to treat the patient with an immediate reimplantation of extruded talus using 3 Kirschner wires and antibiotic therapy. We performed a temporary fixation of talus with calcaneus, tibia and scaphoid.
Usually, this kind of injuries are treated with a tibiocalcaneal arthrodesis and show common complications such as avascular necrosis and infection. Against our expectations we managed to treat successfully our patient.
After 5 years of follow up the patient reported good clinical outcomes without performing arthrodesis and recording major complications.
距骨完全创伤性脱位伴所有韧带断裂（距骨缺失）是一种非常罕见的损伤。我们报告了一例44岁男性病例，该患者在摩托车事故后出现距骨完全脱位和跖跗关节脱位。这种罕见损伤有多种治疗选择，但通常功能恢复并不成功。
我们决定采用3根克氏针立即重新植入脱位距骨并结合抗生素治疗该患者。我们对距骨与跟骨、胫骨和舟骨进行了临时固定。
通常，这类损伤采用胫跟关节融合术治疗，并会出现诸如缺血性坏死和感染等常见并发症。出乎我们意料的是，我们成功治愈了该患者。
经过5年随访，患者报告临床效果良好，未进行关节融合术且未出现重大并发症。
