Managing Complicated Talar Extrusion: A Case Report
Author Information
Author(s): Vaienti Luca, Maggi Francesco, Gazzola Riccardo, Lanzani Edoardo
Primary Institution: Università degli studi di Milano; IRCCS Policlinico San Donato
Conclusion
The use of a sural fasciocutaneous flap may enhance vascularization and support successful reimplantation of the talus after total extrusion.
Supporting Evidence
- Total talar dislocation is a rare injury with few reported cases.
- The patient achieved full weight bearing after 6 months.
- The use of a sural fasciocutaneous flap improved vascularization.
- No signs of avascular necrosis were observed at the 4-year follow-up.
Takeaway
A man lost his ankle bone in a motorcycle accident, but doctors were able to put it back and help him walk again by using a special skin flap to improve blood flow.
Methodology
The case involved initial filling of the talar void with antibiotic cement, followed by harvesting a sural fasciocutaneous flap and reimplantation of the original talus.
Limitations
The rarity of the condition limits the establishment of generalized treatment guidelines.
Participant Demographics
A 27-year-old man.
Digital Object Identifier (DOI)
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