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[Open talar enucleation with talar loss: a case report]
A E Ibarra-Herrera1, J I Martínez-Guerrero, H Martínez-Arredondo
1Hospital General Dr. Rubén Leñero, SSADF. armando.ibarra@hotmail.com
Acta Ortopedica Mexicana
|April 20, 2012
Summary
Talar enucleation, a rare traumatic injury, can cause severe complications. This case study details successful treatment of talus bone loss using a cadaver graft and subtalar arthrodesis.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Bone Reconstruction
Background:
- Talar enucleation is an infrequent traumatic injury with potentially irreversible complications.
- Such injuries impact individuals in their productive years, leading to talarthrosis, osteomyelitis, and avascular necrosis.
Observation:
- A 33-year-old patient presented with post-traumatic open enucleation of the left talus, involving significant bone loss.
Findings:
- The patient underwent treatment with a cadaver bone graft and subtalar arthrodesis using a retrograde endomedullary nail.
- One-year follow-up demonstrated successful outcomes and management of the complex talus injury.
Implications:
- This case highlights a viable surgical approach for managing talus bone loss due to enucleation.
- Effective treatment can prevent long-term sequelae and restore function in young, active individuals.
