title: Immediate tibiocalcaneal arthrodesis with interposition fibular autograft for salvage after talus fracture: a case report.
abstract: Treatment goals in the operative management of talus fractures include prompt, anatomic, open reduction with rigid internal fixation; functional outcome is measured by degree of arthrosis, pain, range of motion, limb length, cosmesis, and return to premorbid activities. If restoration of the articular surfaces is precluded secondary to comminution, immediate and/or staged reconstructive salvage procedures must be considered. This report describes an immediate reconstructive procedure for salvage after a comminuted talus fracture with an ipsilateral tibia fracture. A standard antegrade tibial nail extending into the calcaneus was selected to stabilize both fracture sites. The technique of tibiocalcaneal arthrodesis using interposition fibular autograft and intramedullary fixation is presented as a unique treatment option.
authors.affiliation: Department of Orthopaedic Surgery, Wilford Hall Medical Center, Lackland Air Force Base, San Antonio, Texas 78236-5300, USA.
authors.forename: A J
authors.initials: AJ
authors.lastname: Ptaszek
mesh_terms: D000328:Adult; D016512:Ankle Injuries / Q000601:surgery; D001174:Arthrodesis; D016025:Bone Transplantation; D002111:Calcaneus / Q000601:surgery*; D005260:Female; D005360:Fibula / Q000637:transplantation; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000601:surgery*; D018460:Fractures, Comminuted / Q000601:surgery*; D006801:Humans; D013628:Talus / Q000293:injuries*; D013978:Tibial Fractures / Q000601:surgery