Talectomy. Functional and radiographic evaluation. Report of 5 cases

DOI: https://doi.org/10.15417/407
Keywords: Astragalectomy, surgical technique, osteonecrosis of the talus, postraumatic infected talus.

Abstract

ObjectivesAnalyze the indications for talectomy and evaluate radiographics and functionals results of the technique in four patients.MethodsWe evaluated functionally (AOFAS Score) and radiologically (Rx and RMN) 5 talectomys in 4 patients with different etiologies. 2 cases (case 1 and 4) with septic osteonecrosis secondary to open fractures of the talus; Case 2, osteonecrosis associated to rigid equinovarus hindfoot, sequelae of severe open tibia fracture, and Case 3 neurological rigid equinovarus hindfoot bilateral. All male patients. Average age 32.5 years (19-56).Anterolateral approach for the foot and ankle. Talectomy and fixation in corrected position, with two 3 mm Steinmann's pins. Achilles tenotomy or other procedures as required.ResultsAt 38 months follow-up (15 to 84) with no signs of osteoarthritis, or mild signs and painless. AOFAS score of 81.4 points (preoperative 17), a length discrepancy of lower limb of 2 cm, and a range of flexion and extension of 18 ° on average (variance between 10 ° and 45 °). Two mild varus hindfoot and three asymptomatic and neutral alignments.ConclusionA good correlation between the patient's symptoms, proper alignment and few imaging signs of osteoarthritis in the ankle or other joints in the foot. At the technical avoidance of maginkg an arthrodesis or an ankle replacement as a treatment, the talectomy is an acceptable salvage procedure for patients with severe deformities, or bone stock deficiency and recalcitrant infections in the ankle.

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Author Biography

Ernesto Lombardo
Hospital de Emergencias Clemente Alvarez (Rosario-Santa Fe)

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Published
2015-11-19
How to Cite
Radkievich, R. D., Sancevich, J. I., Seletti, M. C., D´EliaM., & Lombardo, E. (2015). Talectomy. Functional and radiographic evaluation. Report of 5 cases. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 80(4), 235-243. https://doi.org/10.15417/407
Issue
Vol 80 No 4 (2015)
Section
Clinical Research

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