Total Talar and Navicular Extrusions: A Case Report.
| Autor: | Lalchandani GR; Department of Orthopaedic Surgery, University of California, San Francisco, San Francisco, California., Hung NJ; University of California San Francisco, San Francisco, California., Janghala A; Department of Orthopaedic Surgery, University of California, San Francisco, San Francisco, California., Terry M; Division of Plastic and Reconstructive Surgery, UCSF Department of Surgery, San Francisco, California., Morshed S; Department of Orthopaedic Surgery, University of California, San Francisco, San Francisco, California. |
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| Jazyk: | angličtina |
| Zdroj: | JBJS case connector [JBJS Case Connect] 2022 Jun 22; Vol. 12 (2). Date of Electronic Publication: 2022 Jun 22 (Print Publication: 2022). |
| DOI: | 10.2106/JBJS.CC.20.00517 |
| Abstrakt: | Case: A 15-year-old adolescent boy sustained both talar and navicular extrusions after a dirt-bike accident. The talus and navicular were discarded during initial debridement because of contamination. Given extensive soft-tissue injury and bone loss, the patient's family opted for transtibial amputation, as described by Ertl, over limb salvage. Simultaneous osteomyoplastic reconstruction and acute targeted muscle reinnervation were performed. Conclusion: Transtibial amputation is a viable treatment option for total talar and navicular extrusions, particularly if an optimal functional outcome is unachievable with limb salvage. Simultaneous osteomyoplastic reconstruction and acute targeted muscle reinnervation can potentially decrease neuroma formation and phantom limb pain. Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B875). (Copyright © 2022 by The Journal of Bone and Joint Surgery, Incorporated.) |
| Databáze: | MEDLINE |
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