title: Total talar extrusion without soft tissue attachments.
abstract: Total talar extrusion without a soft tissue attachment is an extremely rare injury and is rarely reported. Appropriate treatment remains controversial. We describe the long-term outcomes of two patients who had complete talar extrusion without remaining soft tissue attachment treated with arthrodesis. Both of our patients had complications such as infection and progressive osteolysis. We suggest reimplantation of the extruded talus after thorough debridement as soon as possible as a reasonable option unless the talus is contaminated or missing, because an open wound may arise from inside to outside.
authors.affiliation: Department of Orthopedic Surgery, Asan Medical Center, Ulsan University College of Medicine, Seoul, Korea.
authors.forename: Ho Seong
authors.initials: HS
authors.lastname: Lee
authors.affiliation: Department of Orthopedic Surgery, Gangneung Medical Center, Gangneung, Korea.
authors.forename: Hyun Wook
authors.initials: HW
authors.lastname: Chung
authors.affiliation: Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.
authors.forename: Jin Soo
authors.initials: JS
authors.lastname: Suh
mesh_terms: D001174:Arthrodesis; D003646:Debridement; D018409:Foot Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012092:Replantation; D017695:Soft Tissue Injuries / Q000601:surgery*; D013524:Surgical Flaps; D013628:Talus / Q000293:injuries* / Q000601:surgery; D007507:Therapeutic Irrigation; D055815:Young Adult
keywords: Arthrodesis; Extrusion; Missing talus; Talus