Completely extruded talus without soft tissue attachments.
A completely extruded talus without any remaining soft tissue attachments is extremely rare. The present report describes treatment of a 45-year-old man who sustained a completely extruded talus injury following a rock-climbing fall. Upon admission, the extruded talus was deep-frozen in our bone bank. The open ankle joint underwent massive wound debridement and irrigation for 3 days. Four days later we performed a primary subtalar fusion between the extruded talus and the calcaneus, anticipating revascularization from the calcaneus. However, aseptic loosening and osteolysis developed around the screw and talus. At 12 months post-trauma we performed a tibiocalcaneal ankle fusion with a femoral head allograft to fill the talar defect. Follow-up at 24 months post-trauma showed the patient had midfoot motion, tibio-talar-calcaneal fusion, and was able partake in 4-hour physical activity twice per week.
Department of Orthopedic Surgery, Cha Bundang Medical Center, CHA University, Seongnam-si, Korea.
Young Rak
YR
Choi
Department of Orthopedic Surgery, College of Medicine, Catholic University of Korea, Daejeon St. Mary's Hospital, Daejeon, Korea.
Jae Jung
JJ
Jeong
Department of Orthopedic Surgery, Asan Medical Center, College of Medicine, Ulsan University, Seoul, Korea.
Ho Seong
HS
Lee
Department of Orthopedic Surgery, Ulsan University Hospital, Ulsan, Korea.
Sang Woo
SW
Kim
Department of Orthopedic Surgery, Ilsan Paik Hospital, College of Medicine, Inje University, Koyang, Korea.
Jin-Soo
JS
Suh
completely extruded talus; osteolysis.; primary subtalar fusion