Extruded Talar Body: Role Of Reimplantation
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2016, Vol 2, Issue 1
Abstract
Background:Total talar extrusion is a rare injury, and its management is controversial. Considering the low incidence of this injury, evidence for the treatment of an extruded talus is limited. We present our experience on results of reimplantation in ten cases of complete talar body extrusions with fracture of talus. Methods:Ten patients of open fracture dislocation of talus with extrusion of talar body were treated at our institution. Body of talus was reduced using both anterolateral and medial approaches. The fracture of talus was fixed using Kirschner wires or cannulated cancellous screws. Ankle spanning external fixator was used to stabilize the ankle and subtalar joint. Wound was closed primarily. Patients were followed up at 6 weeks, 12 weeks, 6 months, 1 year, 2 years and at 3 years. Results:Wounds healed well in all patients. None of the patients developed infection. Six cases showed avascular necrosis of the talus. There were radiological features of collapse seen in one case. No signs of tibiotalar or subtalar arthritis were seen. The average Maryland foot score at the time of last follow-up was 78. Conclusion:Reimplantation of extruded talus with or without fracture of talus within a short period post injury and with meticulous soft tissue handling, preserving the attachments left intact, leads to acceptable functional outcome without prohibitively high rate of infection while restoring near normal joint mechanics, hindfoot height, and bone stock for further reconstructive procedures.
Authors and Affiliations
vanamali B Seetharaman, Sunil B, Preetham N, Md Zeelan Basha, Sreekanth KS, Ankith NV
Keywords
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