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Original article

Tibiotalocalcaneal arthrodesis in a rare case of tuberculosis of the talus

Authors
  • Chiara Comis orcid logo (Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Department of Aging, Orthopedic and Rheumatologic Sciences, Orthopedics and Trauma Surgery Unit, Italy)
  • Tommaso Greco (Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Department of Aging, Orthopedic and Rheumatologic Sciences, Orthopedics and Trauma Surgery Unit, Italy)
  • Michele Inverso (Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Department of Aging, Orthopedic and Rheumatologic Sciences, Orthopedics and Trauma Surgery Unit, Italy)
  • Antonio Mascio (Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Department of Aging, Orthopedic and Rheumatologic Sciences, Orthopedics and Trauma Surgery Unit, Italy)
  • Chiara Polichetti (Università Cattolica del Sacro Cuore, Rome, Orthopedics and Trauma Surgery, Italy)
  • Marco Barbaliscia (Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Department of Aging, Orthopedic and Rheumatologic Sciences, Orthopedics and Trauma Surgery Unit, Italy)
  • Vincenzo La vergata (Università Cattolica del Sacro Cuore, Rome, Orthopedics and Trauma Surgery, Italy)
  • Massimiliano Mosca (IRCCS Istituto Ortopedico Rizzoli - U.O.C, Bologna, II Clinic of Orthopaedics and Traumatology, Italy)
  • Silvio Caravelli (IRCCS Istituto Ortopedico Rizzoli - U.O.C, Rome, II Clinic of Orthopaedics and Traumatology, Italy)
  • Nicola Mondanelli (University of Siena, Siena, Department of Medicine Surgery and Neurosciences, Italy)
  • Elisa Troiano (University of Siena, Siena, Department of Medicine Surgery and Neurosciences, Italy)
  • Giulio Maccauro (Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Department of Aging, Orthopedic and Rheumatologic Sciences, Orthopedics and Trauma Surgery Unit, Italy)
  • Carlo Perisano (Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Department of Aging, Orthopedic and Rheumatologic Sciences, Orthopedics and Trauma Surgery Unit, Italy)

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

How to Cite:

Comis, C., Greco, T., Inverso, M., Mascio, A., Polichetti, C., Barbaliscia, M., La vergata, V., Mosca, M., Caravelli, S., Mondanelli, N., Troiano, E., Maccauro, G. & Perisano, C., (2023) “Tibiotalocalcaneal arthrodesis in a rare case of tuberculosis of the talus”, Medicinski glasnik 21(1), 222-228. doi: https://doi.org/10.17392/1699-23

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Published on
2023-11-06

Peer Reviewed

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CC-BY-NC-ND 4.0