Secondary reconstruction of pseudoarthrosis of the astragalus body after undiagnosed fracture

Rev Esp Cir Ortop Traumatol (Engl Ed). 2020 May-Jun;64(3):223-226. doi: 10.1016/j.recot.2019.07.003. Epub 2019 Sep 7.
[Article in English, Spanish]

Abstract

Pseudoarthrosis is a complication that occurs in up to 12% of astragalus fractures. In this situation, 2main treatment options are considered: arthrodesis and secondary reconstruction. In this text we present the case of a patient who suffered this complication after not being diagnosed with the fracture he suffered and opted for secondary reconstruction with good results. Fracture nonunion affects up to 12% of patients suffering a talar fracture. Classically, most authors proceed to joint arthrodesis when facing such complication. A more recent approach consists on secondary reconstruction of the nonunion. In this paper we present the case of a reconstructed talar nonunion after an unnoticed talar body fracture with encouraging results.

Keywords: Fractura del astrágalo; Fractura del tarso; Fracture reconstruction; Reconstrucción ósea; Seudoartrosis astrágalo; Talar fracture; Talar nonunion; Tarsal fracture.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Fracture Fixation / methods
  • Fractures, Bone / complications
  • Fractures, Bone / diagnostic imaging
  • Fractures, Bone / surgery*
  • Fractures, Multiple / etiology
  • Humans
  • Male
  • Pseudarthrosis / etiology
  • Pseudarthrosis / surgery*
  • Talus / injuries*
  • Talus / surgery*