Discussing a case of recalcitrant pain for a patient three years after an open left talar neck fracture dislocation and failed surgeries, this author shares insights and pearls on performing a total talar replacement and ankle arthroplasty.

 .

Foot and ankle avascular necrosis (AVN) is uncommon with about 15,000 cases per year in the United States. 1 Avascular necrosis occurs when the blood supply is lost or severely diminished to the diaphyseal or epiphyseal portion of the bone, and the underlying cancellous bone weakens and collapses. Also referred to as osteonecrosis, avascular necrosis can either be traumatic or atraumatic in nature due to long-term steroid use, alcoholism, chemotherapy or sickle cell anemia. Avascular necrosis most commonly affects the hip and femur, but it may also occur in the humerus, knee and ankle. 1 Talar avascular necrosis can be significantly disabling and pose a major problem for the average foot and […]

Click here to view original web page at www.podiatrytoday.com