title: Extruded talus treated with reimplantation and primary tibiotalocalcaneal arthrodesis.
abstract: Extruded talus is a rare serious result from a high-energy injury to a supinated and plantar flexed foot. Treatment remains controversial with a lack of congruent evidence for talar reimplantation. A 34-year-old woman was involved in a road traffic accident at 40 mph. Imaging revealed a left talus extruded anterolaterally with a talar neck fracture. Additional injuries included right acetabular fracture, transverse process fractures and rib fractures, which were treated conservatively. The talus was reimplanted and the talar neck fixed with a cortical screw. A hindfoot nail was used to fuse the calcaneus, talus and tibia. Follow-up at two years showed solid tibiotalocalcaneal fusion, with no evidence of avascular development, and the patient was fully weight bearing without pain. We believe this is the first published case of successful primary tibiotalocalcaneal fusion for extruded talus injuries.
authors.affiliation: Department of Orthopaedics, University Hospital South Manchester , Manchester , UK.|University of Manchester , Manchester , UK.
authors.forename: H R
authors.initials: HR
authors.lastname: Mohammad
authors.affiliation: Department of Orthopaedics, University Hospital South Manchester , Manchester , UK.
authors.forename: J
authors.initials: J
authors.lastname: A'Court
authors.affiliation: Department of Orthopaedics, University Hospital South Manchester , Manchester , UK.
authors.forename: A
authors.initials: A
authors.lastname: Pillai
mesh_terms: D000063:Accidents, Traffic; D000077:Acetabulum / Q000293:injuries; D000328:Adult; D064386:Ankle Fractures / Q000601:surgery*; D016512:Ankle Injuries / Q000601:surgery*; D000843:Ankle Joint / Q000601:surgery*; D001174:Arthrodesis / Q000379:methods*; D001863:Bone Screws; D002111:Calcaneus / Q000601:surgery; D005260:Female; D006801:Humans; D009104:Multiple Trauma; D012092:Replantation / Q000379:methods*; D012253:Rib Fractures; D013380:Subtalar Joint / Q000601:surgery; D013628:Talus / Q000293:injuries* / Q000601:surgery; D013977:Tibia / Q000601:surgery
keywords: Extruded talus; Internal fixation; Primary tibiotalocalcaneal arthrodesis; Talus neck fracture; Talus reimplantation