Tibiotalocalcaneal arthrodesis in a rare case of tuberculosis of the talus.

Q2 Medicine Medicinski Glasnik Pub Date : 2024-02-01 DOI:10.17392/1699-23
Chiara Comisi, Tommaso Greco, Michele Inverso, Antonio Mascio, Chiara Polichetti, Marco Barbaliscia, Vincenzo La Vergata, Massimiliano Mosca, Silvio Caravelli, Nicola Mondanelli, Elisa Troiano, Giulio Maccauro, Carlo Perisano
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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 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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一例罕见的距骨结核病人的胫骨-踝关节置换术。
目的 评估我们对一例距骨结核的亲身经历,并概述有关结核表现的文献,包括其各个方面:流行病学、临床和影像学表现,以及目前所知的所有治疗方法。方法 我们介绍了一例 34 岁患者的治疗经验,该患者因距骨结核引起行走困难和疼痛,并因此导致骨质破坏和再吸收以及足部畸形而就诊。结果 经过抗生素治疗后,采用逆行钉和植骨术进行了胫骨踝关节置换术。如今,治疗近两年后,患者已能独立行走,日常生活没有受到任何重大限制。结论 在本病例研究中,采用植骨的胫骨-踝关节置换术显示出良好的功能效果,植骨融合完全,功能和放射学效果良好。
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来源期刊
Medicinski Glasnik
Medicinski Glasnik 医学-医学:内科
CiteScore
2.30
自引率
0.00%
发文量
0
审稿时长
6-12 weeks
期刊介绍: Medicinski Glasnik (MG) is the official publication (two times per year) of the Medical Association of Zenica-Doboj Canton. Manuscripts that present of original basic and applied research from all fields of medicine (general and clinical practice, and basic medical sciences) are invited.
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