Journal of Limb Lengthening & Reconstruction

CASE REPORT
Year
: 2015  |  Volume : 1  |  Issue : 1  |  Page : 54--59

Talar body fracture nonunion and osteonecrosis with adjacent arthritis can be successfully treated with tibiotalocalcaneal arthrodesis using circular external fixation


Eugene Wilson Borst1, Scott J Ellis2, Austin Thomas Fragomen1 
1 Department of Orthopedics, Limb Lengthening and Complex Reconstruction Service, Hospital for Special Surgery, New York, USA
2 Department of Orthopedics, Foot and Ankle Service, Hospital for Special Surgery, New York, NY 10021, USA

Correspondence Address:
Austin Thomas Fragomen
535 East 70th Street, New York, NY 10021
USA

Fractures of the talar body often result from high-energy trauma. These fractures are at risk for nonunion and put the talus at risk for avascular necrosis due to an inadequate blood supply. We present the case of a 57-year-old male that presented to our practice with talus fracture nonunion, talar body osteonecrosis, ankle and subtalar posttraumatic osteoarthritis, and deformity including a mild equinus contracture and mild hindfoot varus. Successful ankle and subtalar fusion, talus fracture union, and deformity correction were performed using a circular external fixator with fine wire fixation and compression. This is the first reported case where fusion of both the tibio-talar-calcaneal joints and the talar body nonunion was achieved using external fixation. At the time of this report, the patient is over 3 years postfusion, stands with neutral alignment, is relatively pain-free, is able to resume normal daily activities, and has no progression of talar osteonecrosis.


How to cite this article:
Borst EW, Ellis SJ, Fragomen AT. Talar body fracture nonunion and osteonecrosis with adjacent arthritis can be successfully treated with tibiotalocalcaneal arthrodesis using circular external fixation.J Limb Lengthen Reconstr 2015;1:54-59


How to cite this URL:
Borst EW, Ellis SJ, Fragomen AT. Talar body fracture nonunion and osteonecrosis with adjacent arthritis can be successfully treated with tibiotalocalcaneal arthrodesis using circular external fixation. J Limb Lengthen Reconstr [serial online] 2015 [cited 2021 Nov 27 ];1:54-59
Available from: https://www.jlimblengthrecon.org/article.asp?issn=2455-3719;year=2015;volume=1;issue=1;spage=54;epage=59;aulast=Borst;type=0