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Year : 2015  |  Volume : 1  |  Issue : 1  |  Page : 54-59

Talar body fracture nonunion and osteonecrosis with adjacent arthritis can be successfully treated with tibiotalocalcaneal arthrodesis using circular external fixation

1 Department of Orthopedics, Limb Lengthening and Complex Reconstruction Service, Hospital for Special Surgery, New York, USA
2 Department of Orthopedics, Foot and Ankle Service, Hospital for Special Surgery, New York, NY 10021, USA

Correspondence Address:
Austin Thomas Fragomen
535 East 70th Street, New York, NY 10021
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2455-3719.168749

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Fractures of the talar body often result from high-energy trauma. These fractures are at risk for nonunion and put the talus at risk for avascular necrosis due to an inadequate blood supply. We present the case of a 57-year-old male that presented to our practice with talus fracture nonunion, talar body osteonecrosis, ankle and subtalar posttraumatic osteoarthritis, and deformity including a mild equinus contracture and mild hindfoot varus. Successful ankle and subtalar fusion, talus fracture union, and deformity correction were performed using a circular external fixator with fine wire fixation and compression. This is the first reported case where fusion of both the tibio-talar-calcaneal joints and the talar body nonunion was achieved using external fixation. At the time of this report, the patient is over 3 years postfusion, stands with neutral alignment, is relatively pain-free, is able to resume normal daily activities, and has no progression of talar osteonecrosis.

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