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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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Related Experiment Video

Updated: May 31, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

Reconstructive surgery after postraumatic infected talus necrosis.

J Almasi1, L Csonge, B Galambos

  • 1Petz Aladár County Teaching Hospital Gyor Traumatology, Orthopaedics and Hand Surgery Centre, Gyor, Hungary. almasijozef@yahoo.com

Bratislavske Lekarske Listy
|June 21, 2011
PubMed
Summary

Tibiocalcaneal arthrodesis is a viable two-stage salvage procedure for severe foot injuries involving infected talus necrosis and extrusion. This technique successfully achieved fusion in 8 months, offering a reconstructive option for complex lower extremity trauma.

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Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
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Published on: January 23, 2018

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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
07:24

Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus

Published on: January 23, 2018

Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Reconstruction
  • Trauma Management

Background:

  • Total talus extrusion is a rare, severe foot injury with unpredictable outcomes.
  • Infection and significant bone loss present major challenges in treating talus extrusion.
  • Salvage procedures are critical for managing complex foot and ankle trauma.

Observation:

  • A two-stage tibiocalcaneal arthrodesis was performed for infected talus necrosis post-extrusion.
  • The first stage involved total talectomy and antibiotic spacer implantation.
  • The second stage utilized a blade plate for tibiocalcaneal fusion, with bone loss addressed by allogeneic bone graft.

Findings:

  • Successful tibiocalcaneal fusion was achieved in 8 months, with an 18-month follow-up period.
  • Clinical outcomes were assessed using the AOFAS hindfoot score.
  • Radiographic evidence confirmed bony trabeculation across the arthrodesis site.

Implications:

  • This two-stage tibiocalcaneal arthrodesis technique serves as a valuable option for complex lower extremity injuries.
  • Chemosterilized, antigen-extracted autolyzed allograft is suitable for foot and ankle reconstructive procedures.
  • The presented surgical approach offers a potential solution for limb salvage in severe foot trauma.