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Six-year survival of reimplanted talus after isolated total talar extrusion: a case report.

Six-year survival of reimplanted talus after isolated total talar extrusion: a case report.
Author Information (click to view)

Kwak JM, Heo SK, Jung GH,


Kwak JM, Heo SK, Jung GH, (click to view)

Kwak JM, Heo SK, Jung GH,

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Journal of medical case reports 2017 12 1511(1) 348 doi 10.1186/s13256-017-1517-7
Abstract
BACKGROUND
Open total extrusion of the talus without concomitant fracture is an extremely rare injury. We present 6-year follow-up data of a patient treated using a temporary spanning external fixator and less invasive single K-wire fixation.

CASE PRESENTATION
A 55-year-old Asian man who had a totally extruded talus without fracture underwent immediate reimplantation surgery. A spanning external fixator with single antegrade K-wire fixation was applied to maintain the reimplanted talus. During 6 years of follow-up, he could walk without aids and could squat, corresponding to an American Orthopaedic Foot and Ankle Society score of 85. We found that the suspect lesion that was evident at 6 months after surgery had disappeared at 12 months postoperatively on the basis of sequential follow-up magnetic resonance imaging. There was no evidence of osteonecrosis of the dislocated talus at the final follow-up.

CONCLUSIONS
In patients with a totally extruded talus, a surgical strategy including immediate reimplantation of the talus and a temporary spanning fixator with single K-wire fixation might be useful to allow early mobilization around the ankle joint and to prevent additional damage of the foot without significant complications.

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