Asian Journal of Orthopaedic Research, .,Vol.: 1, Issue.: 1
Antero-medial Closed Enucleation of the Talus: A Case Report
S. Benzarti1*, T. Mouelhi1, H. Kaziz1, M. A. Triki1, M. L. Ben Ayeche1 and N. Naouar1 1Department of Orthopedic Surgery and Trauma, Sahloul University Hospital, University of Sousse, Tunisia.
S. Benzarti1*, T. Mouelhi1, H. Kaziz1, M. A. Triki1, M. L. Ben Ayeche1 and N. Naouar1
1Department of Orthopedic Surgery and Trauma, Sahloul University Hospital, University of Sousse, Tunisia.
(1) Ikem, Innocent Chiedu, Professor, Department of Orthopaedic Surgery and Traumatology, Obafemi Awolowo University, Ile-Ife, Nigeria.
(1) Terry J. Ellapen, University of KwaZulu-Natal, South Africa.
(2) Waleed Salah El-din Mahmoud, Prince Sattam bin Abdulaziz University, Saudi Arabia.
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The enucleation of the talus is a rare lesion, very little described in the literature. It is a serious injury and the functional prognosis of the ankle is compromised by the high risk of osteonecrosis.
We report the exceptional case of a closed and antero-medial enucleation of the talus in a 28-year-old man who presented to our emergency department following a fall from a 5-meter hight.
Per-operative assessment revealed that the talus remained partially connected to the foot and ankle by capsular attachments. The talus was very carefully reduced so farther damage to the blood supply could be avoided. Then a navicular-talar pinning was achieved under fluoroscopy-control. A repair of the medial capsular-ligamentary structures was performed and a careful closure of the skin has been achieved.
An immobilization was associated for 8 weeks then the Kirschner wires were removed and a rehabilitation program of 8 weeks was indicated.
Ankle; talus; astragalus; dislocation; extrusion; enucleation; surgery; outcome.
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