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Aim To assess our personal experience of a case of tuberculosis of the talus, and to provide an overview of the literature about the 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 the 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.
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http://dx.doi.org/10.17392/1699-23 | DOI Listing |
Jt Dis Relat Surg
June 2025
Ankara Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, 06230 Altındağ, Ankara, Türkiye.
Objectives: This study aims to compare the clinical and radiographic outcomes of open (lateral transfibular) and arthroscopic joint debridement techniques in tibiotalocalcaneal arthrodesis (TTCA) using the same nail system.
Patients And Methods: Between January 2011 and December 2022, a total of 62 patients (21 males, 41 females; mean age 53.81±16.
J Orthop Surg Res
July 2025
Foot and Ankle Surgery, Tianjin Hospital, Tianjin, China.
Objective: To systematically evaluate the efficacy and safety of intramedullary nails (IMNs) in tibial-talocalcaneal arthrodesis (TTCA) for treating Charcot neuroarthropathy (CN).
Methods: A comprehensive search for relevant literature was conducted in the PubMed, Embase, Cochrane Library, Web of Science, Scopus and SinoMed databases, covering studies from 2014 to October 30, 2024. The inclusion criteria were based on the PICOS framework: the study population consisted of CN patients, the intervention was TTCA with IMNs, and the outcomes assessed included bone union rate, complication rate, and limb salvage rate.
Foot (Edinb)
September 2025
Department of Trauma and Orthopaedics, Wrexham Maelor Hospital, Wales, UK; Department of Orthopaedics, Robert Jones and Agnes Hunt Hospital Oswestry, UK.
Background: Diabetic foot disease is a common life altering complication of diabetes mellitus that results from a combination of neuropathy, angiopathy, and structural deformities. Minimally invasive orthopaedic surgeries (MIOS) are known to shorten recovery time, reduced length of stay in hospital, reduce wound complications, all of which would benefit diabetic patients. Current evidence-based guidance on the use of minimally invasive orthopaedic surgeries (MIOS) in managing diabetic foot disease is limited.
View Article and Find Full Text PDFJ Clin Med
June 2025
Department of Orthopaedics, University Hospital Hradec Kralove, 50005 Hradec Kralove, Czech Republic.
: Advanced destruction of the ankle and subtalar joints due to neuropathy, chronic infection, or inflammatory conditions presents a major surgical challenge, often resulting in limb amputation. This descriptive retrospective study aims to evaluate outcomes of reconstructive surgery in patients, in whom limb preservation was prioritized over amputation despite significant soft tissue and osseous involvement. : Between January 2013 and December 2022, 31 reconstructive procedures were performed on 29 patients (16 women and 13 men) with severe hindfoot deformities.
View Article and Find Full Text PDFJ Orthop Case Rep
July 2025
Department of Orthopaedics, Dr. D.Y. Patil Medical College and Hospital, Pune, Maharashtra, India.
Introduction: Arthroscopic tibiotalocalcaneal (TTC) arthrodesis with intramedullary nail fixation is a minimally invasive technique for managing complex hindfoot pathologies, especially in patients with soft tissue injuries or poor skin conditions after trauma.
Case Report: We present the case of a 44-year-old male farmer with post-traumatic instability over his left ankle and soft tissue injury over the lateral aspect of his left lower limb secondary to a degloving injury involving a runover by a tractor. The patient had previously undergone debridement with an anterolateral thigh flap for wound coverage 3 months ago.