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Case Report

Completely Extruded Talus without Soft Tissue Attachments

by
Young Rak Choi
1,
Jae Jung Jeong
2,
Ho Seong Lee
3,*,
Sang Woo Kim
4 and
Jin-Soo Suh
5
1
Department of Orthopedic Surgery, Cha Bundang Medical Center, CHA University, Seongnam-si, Korea
2
Department of Orthopedic Surgery, College of Medicine, Catholic University of Korea, Daejeon St. Mary’s Hospital, Daejeon, Korea
3
Department of Orthopedic Surgery, Asan Medical Center, College of Medicine, Ulsan University, Seoul, Korea
4
Department of Orthopaedic Surgery, Ulsan University Hospital, Ulsan, Korea
5
Department of Orthopedic Surgery, Ilsan Paik Hospital, College of Medicine, Inje University, Koyang, Korea
*
Author to whom correspondence should be addressed.
Clin. Pract. 2011, 1(1), e12; https://doi.org/10.4081/cp.2011.e12
Submission received: 15 March 2011 / Revised: 15 March 2011 / Accepted: 1 April 2011 / Published: 11 April 2011

Abstract

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 rockclimbing 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.
Keywords: completely extruded talus; primary subtalar fusion; osteolysis completely extruded talus; primary subtalar fusion; osteolysis

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MDPI and ACS Style

Choi, Y.R.; Jeong, J.J.; Lee, H.S.; Kim, S.W.; Suh, J.-S. Completely Extruded Talus without Soft Tissue Attachments. Clin. Pract. 2011, 1, e12. https://doi.org/10.4081/cp.2011.e12

AMA Style

Choi YR, Jeong JJ, Lee HS, Kim SW, Suh J-S. Completely Extruded Talus without Soft Tissue Attachments. Clinics and Practice. 2011; 1(1):e12. https://doi.org/10.4081/cp.2011.e12

Chicago/Turabian Style

Choi, Young Rak, Jae Jung Jeong, Ho Seong Lee, Sang Woo Kim, and Jin-Soo Suh. 2011. "Completely Extruded Talus without Soft Tissue Attachments" Clinics and Practice 1, no. 1: e12. https://doi.org/10.4081/cp.2011.e12

APA Style

Choi, Y. R., Jeong, J. J., Lee, H. S., Kim, S. W., & Suh, J. -S. (2011). Completely Extruded Talus without Soft Tissue Attachments. Clinics and Practice, 1(1), e12. https://doi.org/10.4081/cp.2011.e12

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