Primary fusion as salvage following talar neck fracture: a case report.
For a 29-year-old man with a three-week-old Hawkins Type IV talar neck fracture, intra-operative reduction and fixation were not possible due to soft tissue contractures and severe comminution. A primary talonavicular and subtalar arthrodesis with the use of iliac crest bone graft was performed. Postoperative follow-up at 16 months demonstrated solid fusions, no avascular necrosis of the talus and a functional range of motion at the ankle. He was not capable of returning to his job of roof maintenance.
St. Michael's Hospital, Toronto, Ontario, Canada.
Rhys H
RH
Thomas
Timothy R
TR
Daniels
D000328:Adult; D001174:Arthrodesis / Q000379:methods*; D033023:Foot Joints / Q000601:surgery*; D050723:Fractures, Bone / Q000150:complications / Q000601:surgery*; D018460:Fractures, Comminuted / Q000150:complications / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000150:complications / Q000601:surgery; D008297:Male; D013628:Talus / Q000293:injuries*