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Review paper
Received: 01.12.2023. >> Accepted: 09.12.2023. >> Published: 06.11.2023. Biochemistry
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https://doi.org/10.17392/1699-23

Tibiotalocalcaneal arthrodesis in a rare case of tuberculosis of the talus

By
Chiara Comis Orcid logo ,
Chiara Comis
Contact Chiara Comis

Department of Aging, Orthopedic and Rheumatologic Sciences, Orthopedics and Trauma Surgery Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS , Rome , Italy

Orthopedics and Trauma Surgery, Università Cattolica del Sacro Cuore , Rome , Italy

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Tommaso Greco ,
Tommaso Greco

Department of Aging, Orthopedic and Rheumatologic Sciences, Orthopedics and Trauma Surgery Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS , Rome , Italy

Orthopedics and Trauma Surgery, Università Cattolica del Sacro Cuore , Rome , Italy

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Michele Inverso ,
Michele Inverso

Department of Aging, Orthopedic and Rheumatologic Sciences, Orthopedics and Trauma Surgery Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS , Rome , Italy

Orthopedics and Trauma Surgery, Università Cattolica del Sacro Cuore , Rome , Italy

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Antonio Mascio ,
Antonio Mascio

Department of Aging, Orthopedic and Rheumatologic Sciences, Orthopedics and Trauma Surgery Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS , Rome , Italy

Orthopedics and Trauma Surgery, Università Cattolica del Sacro Cuore , Rome , Italy

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Chiara Polichetti ,
Chiara Polichetti

Orthopedics and Trauma Surgery, Università Cattolica del Sacro Cuore , Rome , Italy

Department of Aging, Orthopedic and Rheumatologic Sciences, Orthopedics and Trauma Surgery Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS , Rome , Italy

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Marco Barbaliscia ,
Marco Barbaliscia

Department of Aging, Orthopedic and Rheumatologic Sciences, Orthopedics and Trauma Surgery Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS , Rome , Italy

Orthopedics and Trauma Surgery, Università Cattolica del Sacro Cuore , Rome , Italy

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Vincenzo La vergata ,
Vincenzo La vergata

Orthopedics and Trauma Surgery, Università Cattolica del Sacro Cuore , Rome , Italy

Department of Aging, Orthopedic and Rheumatologic Sciences, Orthopedics and Trauma Surgery Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS , Rome , Italy

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Massimiliano Mosca ,
Massimiliano Mosca

II Clinic of Orthopaedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli - U.O.C , Bologna , Italy

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Silvio Caravelli ,
Silvio Caravelli

II Clinic of Orthopaedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli - U.O.C , Rome , Italy

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Nicola Mondanelli ,
Nicola Mondanelli

Department of Medicine Surgery and Neurosciences, University of Siena , Siena , Italy

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Elisa Troiano ,
Elisa Troiano

Department of Medicine Surgery and Neurosciences, University of Siena , Siena , Italy

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Giulio Maccauro ,
Giulio Maccauro

Department of Aging, Orthopedic and Rheumatologic Sciences, Orthopedics and Trauma Surgery Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS , Rome , Italy

Orthopedics and Trauma Surgery, Università Cattolica del Sacro Cuore , Rome , Italy

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Carlo Perisano
Carlo Perisano

Department of Aging, Orthopedic and Rheumatologic Sciences, Orthopedics and Trauma Surgery Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS , Rome , Italy

Orthopedics and Trauma Surgery, Università Cattolica del Sacro Cuore , Rome , Italy

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Abstract

Aim
To assess our personal experience of a case of tuberculosis of the talus, and to provide an overview of the literature about this tuberculosis manifestations, including all its aspects: epidemiology, clinical and imaging presentation, and all the treatments available to the current state of knowledge.
Methods
We present our experience in a case of a 34-year-old patient, who came to our attention with difficulty in walking and
pain due to a talar tuberculosis, with consequent bone disruption and reabsorption, and foot deformities.
Results
A tibiotalocalcaneal arthrodesis with retrograde nail and bone graft was performed after antibiotic therapy. Today, almost
two years after treatment, the patient can walk independently with no major limitations in everyday life.
Conclusion
Tibiotalocalcaneal arthrodesis with bone graft showed good functional results in this case study, with complete graft fusion and good functional and radiological outcomes.

Keywords:

chronic ankle disease,
foot disease,
tarsal bones,
tibiotalocalcaneal arthrodesis,
foot deformities

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