Talar Neck Fracture Reduced and Stabilized with an Ilizarov External Fixator: A case report with three year follow up

The association of ipsilateral talar and calcaneal fractures is an uncommon combination and is typically the result of a high-energy trauma. It is often associated with comminution, marked fracture displacement, and soft-tissue compromise. Obtaining satisfactory clinical and radiographic results is very challenging. Residual deformities, multiple procedures, and limitations are usually the norm. Therefore, studies have suggested that primary arthrodesis may represent the best option of surgical treatment. In this study, we report a case of a 30-year-old male patient with a rare combination of a highly comminuted transcalcaneal fracture-dislocation associated with a talar neck fracture successfully treated with open reduction and internal fixation (ORIF) with an 18-month follow-up. This case demonstrates that even when there are associated fractures of the talus and calcaneus with severe bone loss, ORIF may provide satisfactory outcomes in the short-term postoperative period. Levels of Evidence: Level V: Case report

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Free vascularized fibular graft for treatment of pathological femoral neck fracture and osteonecrosis of the femoral head: A case report with a long-term follow-up

Microsurgery ◽

10.1002/micr.20598 ◽

2008 ◽

Vol 29 (3) ◽

pp. 240-243 ◽

Cited By ~ 6

Author(s):

Alexandros E. Beris ◽

Marios G. Lykissas ◽

Alexandros Payatakes ◽

Vasileios A. Kontogeorgakos ◽

Alexandros Mavrodontidis ◽

...

Keyword(s):

Case Report ◽

Femoral Head ◽

Femoral Neck ◽

Fibular Graft ◽

Vascularized Fibular Graft ◽

Long Term Follow Up ◽

Neck Fracture ◽

Free Vascularized Fibular Graft

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Ilizarov External Fixator for Burst Fracture of the Lumbar Spine: A Case Report

Journal of Orthopaedic Surgery ◽

10.1177/230949900701500329 ◽

2007 ◽

Vol 15 (3) ◽

pp. 380-383 ◽

Cited By ~ 2

Author(s):

H Matsubara ◽

H Tsuchiya ◽

N Kawahara ◽

T Kobayashi ◽

T Morinaga ◽

...

Keyword(s):

Case Report ◽

Lumbar Spine ◽

External Fixator ◽

Burst Fracture ◽

Ilizarov External Fixator

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Primary Fusion as Salvage following Talar Neck Fracture: A Case Report

Foot & Ankle International ◽

10.1177/107110070302400412 ◽

2003 ◽

Vol 24 (4) ◽

pp. 368-371 ◽

Cited By ~ 13

Author(s):

Rhys H. Thomas ◽

Timothy R. Daniels

Keyword(s):

Case Report ◽

Soft Tissue ◽

Bone Graft ◽

Range Of Motion ◽

Avascular Necrosis ◽

Iliac Crest ◽

Iliac Crest Bone Graft ◽

Type Iv ◽

Neck Fracture

For a 29-year-old man with a three-week-old Hawkins Type IV talar neck fracture, intra-operative reduction and fixation were not possible due to soft tissue contractures and severe comminution. A primary talonavicular and subtalar arthrodesis with the use of iliac crest bone graft was performed. Postoperative follow-up at 16 months demonstrated solid fusions, no avascular necrosis of the talus and a functional range of motion at the ankle. He was not capable of returning to his job of roof maintenance.

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Tibiocalcaneal arthrodesis using the Ilizarov fixator in compromised hosts: an analysis of 19 patients

Archives of Orthopaedic and Trauma Surgery ◽

10.1007/s00402-021-03751-0 ◽

2021 ◽

Author(s):

Charlotte Reinke ◽

Sebastian Lotzien ◽

Emre Yilmaz ◽

Yannik Hanusrichter ◽

Christopher Ull ◽

...

Keyword(s):

External Fixator ◽

Demographic Data ◽

Joint Destruction ◽

Salvage Procedure ◽

Aofas Score ◽

Ilizarov External Fixator ◽

Tibiocalcaneal Arthrodesis ◽

Ilizarov Fixator ◽

Lost To Follow Up

Abstract Introduction Salvage of joint destruction of the tibiotalar and subtalar joint with necrosis or infection of the talus in compromised hosts is a challenging problem. In these cases, tibiocalcaneal arthrodesis using the Ilizarov external fixator represents a possible alternative to amputation. This retrospective study presents the results and complications of this salvage procedure. Materials and methods Between 2005 and 2015, 19 patients were treated with tibiocalcaneal arthrodesis using the Ilizarov external fixator. Ten patients received tibiocalcaneal arthrodesis due to an acute or chronic infection with joint destruction. The other nine patients presented posttraumatic necrosis of the talus or Charcot arthropathy. In addition to demographic data, the time spent in the fixator, the major and minor complications and the endpoint of the consolidation were evaluated retrospectively. Furthermore, clinical outcomes were measured using the modified American Orthopedic Foot and Ankle Society (AOFAS) score. Results The average time spent in the fixator was 22 (range 14–34) weeks. The average follow-up in 17 patients was 116 (range 4–542) weeks. Two patients were lost to follow-up. Complete osseous consolidation was achieved in 14 out of 19 patients. One patient presented partial consolidation, and in four patients, pseudarthrosis could be detected. The mean modified AOFAS score at the final follow-up was 53 out of 86 possible points. Conclusion Tibiocalcaneal arthrodesis using the Ilizarov fixator is a possible salvage procedure even in compromised hosts. However, the healing rates are below the rates reported in the literature for tibiotalar arthrodesis in comparable clinical situations.

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Nonunion of the tibia following intramedullary nailing treated by Ilizarov external fixator: A case report

Journal of Experimental and Clinical Medicine ◽

10.5835/jecm.omu.30.02.017 ◽

2013 ◽

Vol 30 (2) ◽

pp. 175-177

Author(s):

Davut Keskin ◽

Adem Erkut ◽

Mehmet Sabri Balık ◽

Yılmaz Güvercin

Keyword(s):

Case Report ◽

Intramedullary Nailing ◽

External Fixator ◽

Ilizarov External Fixator

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Mycobacterium senegalense Osteomyelitis of the Distal Tibia: A Case Report

Journal of Bone and Joint Infection ◽

10.7150/jbji.33321 ◽

2019 ◽

Vol 4 (3) ◽

pp. 140-145 ◽

Cited By ~ 1

Author(s):

Jeremiah Maupin ◽

Austin Cantrell ◽

Katherine Kupiec ◽

Dante Paolo Melendez ◽

Amgad M. Haleem

Keyword(s):

Case Report ◽

Musculoskeletal System ◽

External Fixator ◽

Chronic Osteomyelitis ◽

Distal Tibia ◽

Ilizarov External Fixator ◽

Documented Case ◽

The Third ◽

System A

Abstract. Mycobacterium senegalense infection is rare. We present the third documented case of M. senegalense infection and the first to involve the musculoskeletal system. A 55-year old immunocompetent male developed chronic osteomyelitis of the ankle and required antibiotic spacers, an Ilizarov external fixator and multiple antibiotic regimens to eradicate the infection.

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Outcomes of Subcapital Femoral Fracture after a Fixation of an Intertrochanteric Fracture with a Proximal Femoral Nail: Case Report

Case Reports in Orthopedic Research ◽

10.1159/000512075 ◽

2021 ◽

pp. 56-61

Author(s):

Jorge H. Nuñez ◽

Jordi Teixidor ◽

Felipe Borim ◽

Vicente Molero ◽

Jordi Tomas

Keyword(s):

Case Report ◽

Femoral Fracture ◽

Intertrochanteric Fracture ◽

Rare Complication ◽

Femoral Fractures ◽

Proximal Femoral Nail ◽

Femoral Nail ◽

Number Of Patients ◽

Neck Fracture

Proximal femoral fractures are a common injury that represents an important cause of hospitalization, morbidity, and mortality in elderly patients. Subcapital femoral neck fracture after fixation of an intertrochanteric fracture with a proximal femoral nail is an extremely rare complication. However, because of the large and steadily increase in the number of patients undergoing to proximal femoral nail fixation in recent years, we believe that the number of these cases could increase over time. We present a 78-year-old woman with a subcapital femoral fracture 11 months after a fixation of intertrochanteric fracture with a proximal femoral nail in the same hip. Five years of follow-up was presented. Also through our case report a review of literature of these rare cases was done, trying to evaluate the associated risk factors, the difficulties in their treatment and the final follow-up of these patients.

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