Percutaneous treatment of traumatic talus extrusion: a case report.
作者信息
Calabrò Davide, Meliadò Giuseppe, Biasi Michele, Topa Gaetano, Campo Francesco, Fusini Federico
机构信息
.
Department of Orthopaedics and Traumatology of hospital "Bianchi-Melacrino-Morelli", Reggio Calabria.
出版信息
Acta Biomed. 2018 Mar 27;89(1):109-113. doi: 10.23750/abm.v89i1.6178.
BACKGROUND AND AIM OF WORK
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.
METHODS
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.
RESULTS
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.
CONCLUSIONS
After 5 years of follow up the patient reported good clinical outcomes without performing arthrodesis and recording major complications.
Zotero 插件