Avtor/Urednik		Smrke, Dragica; Rožman, Primož; Gubina, Borut; Frangež, Igor; Rejec Smrke, Barbara Urška; Hojs, Radovan
Naslov		An uncommon treatment of totally extruded and lost talus
Tip		članek
Vol. in št.		Letnik 8
Leto izdaje		2014
ISSN		1752-1947 - Journal of medical case reports
Jezik		eng
Abstrakt		Introduction Total extrusion and loss of the talus is a rare injury with a wide choice of appropriate treatment, but rarely resulting in a fully functional recovery. We report on an uncommon case, both for the severity of the injury and for the uncommon treatment due to the patient's rejection of secondary surgery. Case presentation We treated a 16-year-old Caucasian man with the most extreme variant of a totally extruded and lost talus, accompanied with complex injury of the soft tissues of the ankle and foot. The treatment included urgent microvascular foot reimplantation, microvascular muscle free flap transfer, and temporary fixation. This kind of injury should typically be treated by tibiocalcaneal arthrodesis. However, this was not performed, as after the successful early stages of the treatment he strongly objected to another surgery due to his fully functional status and the successful therapeutic results of our early treatment. Conclusions The injury described in this case study would ordinarily be treated by amputation, but due to the well-executed treatment in the early stages after the injury, the outcome was satisfying. Surprisingly and against our expectations, the late results of the treatment were successful even without arthrodesis. He is now 37 years old and has a functional foot 21 years after the injury.
Proste vsebinske oznake		ankle injury arthroplasty gleženj poškodba artroplastika