Transmalleolar approach to a tubercular lytic lesion of the talar body: a case report.

Autor: Halwai MA; The Government Hospital for Bone and Joint Surgery, Barzullah, Srinagar, Kashmir, India., Mir BA, Dhar SA, Dar TA, Butt MF
Jazyk: angličtina
Zdroj: The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons [J Foot Ankle Surg] 2011 Jul-Aug; Vol. 50 (4), pp. 490-3. Date of Electronic Publication: 2011 Mar 11.
DOI: 10.1053/j.jfas.2009.02.016
Abstrakt: Tuberculosis of the talus is a rare condition, and the diagnosis can be difficult to make because of inconclusive laboratory and ancillary testing. In such cases, accurate diagnosis and appropriate treatment may require the use of a transmalleolar osteotomy to gain access to the involved portion of the talar body. In the case described in this article, a transmalleolar approach was used to gain access to a lytic lesion of the talar body so as to obtain microbiological and histopathological specimens for diagnostic purposes, and to thoroughly debride the lesion. After 6 years of postsurgical follow-up, the patient was leading a normal life with a full range of ankle and subtalar motion. The rarity of the diagnosis, and the use of the transmalleolar approach to a lytic and likely infected lesion in the body of the talus, makes this case worthy of public discussion.
(Copyright © 2011 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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