Percutaneous treatment of traumatic talus extrusion: a case report.

Main Article Content

Davide Calabrò
Giuseppe Meliadò
Michele Biasi
Gaetano Topa
Francesco Campo
Federico Fusini

Keywords

K-wires, missing talus, total extrusion, Lisfranc fracture

Abstract

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. 


 

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