Pub Date : 2025-03-01DOI: 10.1016/j.fastrc.2025.100469
Miranda G. Montion M.A. , Quinn Schroeder D.P.M. , Danielle Brewer D.P.M. , Rujul Patel B.S. , Maryam Ameen B.A. , Aneesha N. Usman M.S. , Kyle McKray Smith D.P.M.
Introduction
Intraosseous lipomas (IOL's) are rare benign tumors of mature adipose tissue within the bone, most commonly found in the calcaneus, femur, tibia, and humerus. These lesions are typically asymptomatic and often discovered incidentally in imaging studies. Calcaneal IOL's pose unique challenges due to their location and potential for significant structural compromise.
Body
Here we describe a young male with a recalcitrant calcaneal IOL's without remission of symptoms from previous treatments. Surgery consisted of aggressive lesion debridement with remodeling and interpositional packing of a cadaveric femoral head allograft and tibial autograft Additionally, the construct was secured with a lag screw and supported by an anatomic lateral wall plate. The patient at two years post-operation has returned to normal weight-bearing, comfortable ambulation, and increased quality of life working as a full-time mail carrier.
Conclusion
To the authors’ knowledge, this is the first report of an IOL's in the foot and ankle literature treated with a cadaveric femoral head allograft and internal fixation. Our approach underscores the efficacy of combining aggressive tumor resection with structural allografts and non-structural autografts protected with internal fixation, offering a promising alternative in managing benign calcaneal neoplasms refractory to conventional therapies.
{"title":"Recalcitrant calcaneal intraosseous lipoma treated with a cadaveric femoral head allograft plug and internal fixation in a 22-year-old military veteran: A case report","authors":"Miranda G. Montion M.A. , Quinn Schroeder D.P.M. , Danielle Brewer D.P.M. , Rujul Patel B.S. , Maryam Ameen B.A. , Aneesha N. Usman M.S. , Kyle McKray Smith D.P.M.","doi":"10.1016/j.fastrc.2025.100469","DOIUrl":"10.1016/j.fastrc.2025.100469","url":null,"abstract":"<div><h3>Introduction</h3><div>Intraosseous lipomas (IOL's) are rare benign tumors of mature adipose tissue within the bone, most commonly found in the calcaneus, femur, tibia, and humerus. These lesions are typically asymptomatic and often discovered incidentally in imaging studies. Calcaneal IOL's pose unique challenges due to their location and potential for significant structural compromise.</div></div><div><h3>Body</h3><div>Here we describe a young male with a recalcitrant calcaneal IOL's without remission of symptoms from previous treatments. Surgery consisted of aggressive lesion debridement with remodeling and interpositional packing of a cadaveric femoral head allograft and tibial autograft Additionally, the construct was secured with a lag screw and supported by an anatomic lateral wall plate. The patient at two years post-operation has returned to normal weight-bearing, comfortable ambulation, and increased quality of life working as a full-time mail carrier.</div></div><div><h3>Conclusion</h3><div>To the authors’ knowledge, this is the first report of an IOL's in the foot and ankle literature treated with a cadaveric femoral head allograft and internal fixation. Our approach underscores the efficacy of combining aggressive tumor resection with structural allografts and non-structural autografts protected with internal fixation, offering a promising alternative in managing benign calcaneal neoplasms refractory to conventional therapies.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 1","pages":"Article 100469"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143510330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01DOI: 10.1016/j.fastrc.2025.100484
Thomas Poynter DPM , Kaitlyn J. Loesel DPM , Michael Sweeney DPM , Alden Simmons DPM , Brandon Kitchens DPM , Timothy Ford DPM , Nicholas Laco DPM
The use of intramedullary devices to treat osteomyelitis has been documented as being effective and safe. Technology has limited the use of this technique to long bones with application on an intramedullary nail or rod. In this paper, we describe a novel technique using antibiotic synthetic bone void filler (ASBVF) applied into the medullary canal of a transmetatarsal amputation. This backfills a necrotic void and creates a bioabsorbable, antibiotic impregnated filler to resist and treat further advancement or recurrence of osteomyelitis after resection.
{"title":"Intramedullary use of an antibiotic synthetic bone filler in diabetics undergoing metatarsal amputation(s)","authors":"Thomas Poynter DPM , Kaitlyn J. Loesel DPM , Michael Sweeney DPM , Alden Simmons DPM , Brandon Kitchens DPM , Timothy Ford DPM , Nicholas Laco DPM","doi":"10.1016/j.fastrc.2025.100484","DOIUrl":"10.1016/j.fastrc.2025.100484","url":null,"abstract":"<div><div>The use of intramedullary devices to treat osteomyelitis has been documented as being effective and safe. Technology has limited the use of this technique to long bones with application on an intramedullary nail or rod. In this paper, we describe a novel technique using antibiotic synthetic bone void filler (ASBVF) applied into the medullary canal of a transmetatarsal amputation. This backfills a necrotic void and creates a bioabsorbable, antibiotic impregnated filler to resist and treat further advancement or recurrence of osteomyelitis after resection.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 1","pages":"Article 100484"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143519083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01DOI: 10.1016/S2667-3967(25)00027-8
{"title":"About the Journal","authors":"","doi":"10.1016/S2667-3967(25)00027-8","DOIUrl":"10.1016/S2667-3967(25)00027-8","url":null,"abstract":"","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 1","pages":"Article 100492"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143637524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01DOI: 10.1016/j.fastrc.2025.100477
Neal M. Blitz DPM, FACFAS
Minimally invasive bunion surgery continues to experience generation evolution with the development of newer techniques and as advanced technology emerges. Having a common vernacular and universally accepted terms, the ideal construct/technique will materialize as we compare and contrast the generations through scientific literature. This paper outlines sixth generation MIBS that combines new never-been disclosed proprietary Transveron™ osteotomy techniques and technological implant advancements that make a single screw construct structurally feasible. This generational variational update, as outlined in the article, provides a stable construct while allowing for unrestricted lateral metatarsal head translation, frontal plane sesamoid positioning, rotational-control, lateral wall real estate preservation and increased bone healing potential.
{"title":"New Transveron™ osteotomy and single dual-zone screw fixation: Sixth generation minimally invasive bunion surgery","authors":"Neal M. Blitz DPM, FACFAS","doi":"10.1016/j.fastrc.2025.100477","DOIUrl":"10.1016/j.fastrc.2025.100477","url":null,"abstract":"<div><div>Minimally invasive bunion surgery continues to experience generation evolution with the development of newer techniques and as advanced technology emerges. Having a common vernacular and universally accepted terms, the ideal construct/technique will materialize as we compare and contrast the generations through scientific literature. This paper outlines sixth generation MIBS that combines new never-been disclosed proprietary Transveron™ osteotomy techniques and technological implant advancements that make a single screw construct structurally feasible. This generational variational update, as outlined in the article, provides a stable construct while allowing for unrestricted lateral metatarsal head translation, frontal plane sesamoid positioning, rotational-control, lateral wall real estate preservation and increased bone healing potential.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 1","pages":"Article 100477"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143527074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01DOI: 10.1016/j.fastrc.2025.100483
Neal M. Blitz DPM, FACFAS
{"title":"Toppling the leaning tower theory in bunion correction","authors":"Neal M. Blitz DPM, FACFAS","doi":"10.1016/j.fastrc.2025.100483","DOIUrl":"10.1016/j.fastrc.2025.100483","url":null,"abstract":"","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 1","pages":"Article 100483"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143512276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-28DOI: 10.1016/j.fastrc.2025.100487
Steven R. Cooperman DPM, MBA, AACFAS , Lauren M. Christie DPM, AACFAS , Chad A. Smith DPM, AACFAS , Jacob M. Perkins DPM, AACFAS , Vincent G. Vacketta DPM, FACFAS , Roberto A. Brandão DPM, FACFAS
Minimally invasive techniques for foot and ankle procedures have gained popularity as an alternative to traditional open techniques, with proposed benefits including earlier weight-bearing, improved cosmesis, and decreased postoperative pain. The current study aimed to evaluate the efficacy of first metatarsophalangeal joint preparation using a minimally invasive burr while concurrently evaluating the risk of extensor hallucis longus tendon damage with this technique. Nine fresh, thawed cadaveric lower limbs were utilized for this investigation. A single, reproducible dorsomedial minimally invasive portal was created at the level of the first metatarsophalangeal joint, and a 2.0 mm burr was used to denude the cartilage for two minutes under fluoroscopic guidance. Digital calipers were used to measure the distance between the portal and the extensor hallucis longus tendon. The joints were then carefully disarticulated to evaluate the extent of cartilage debridement and surface area ratios were calculated. Results identified an average distance of 7.13 mm between the portal and the extensor tendon, with minor partial damage occurring to the tendon in 1/9 specimens. The proximal phalanx and metatarsal head ratios averaged 0.76 and 0.75, respectively, indicating approximately 76 % and 75 % of the respective joint surfaces were denuded. This study demonstrates comparable cartilage debridement to traditional open techniques based on historical data. Results of this study suggest that first metatarsophalangeal joint preparation can be effectively achieved with the use of a minimally invasive burr technique with fluoroscopic assistance, with a low risk of injury to the extensor hallucis longus tendon.
{"title":"Cadaveric evaluation of first metatarsophalangeal joint preparation using a 2.0 mm MIS burr","authors":"Steven R. Cooperman DPM, MBA, AACFAS , Lauren M. Christie DPM, AACFAS , Chad A. Smith DPM, AACFAS , Jacob M. Perkins DPM, AACFAS , Vincent G. Vacketta DPM, FACFAS , Roberto A. Brandão DPM, FACFAS","doi":"10.1016/j.fastrc.2025.100487","DOIUrl":"10.1016/j.fastrc.2025.100487","url":null,"abstract":"<div><div>Minimally invasive techniques for foot and ankle procedures have gained popularity as an alternative to traditional open techniques, with proposed benefits including earlier weight-bearing, improved cosmesis, and decreased postoperative pain. The current study aimed to evaluate the efficacy of first metatarsophalangeal joint preparation using a minimally invasive burr while concurrently evaluating the risk of extensor hallucis longus tendon damage with this technique. Nine fresh, thawed cadaveric lower limbs were utilized for this investigation. A single, reproducible dorsomedial minimally invasive portal was created at the level of the first metatarsophalangeal joint, and a 2.0 mm burr was used to denude the cartilage for two minutes under fluoroscopic guidance. Digital calipers were used to measure the distance between the portal and the extensor hallucis longus tendon. The joints were then carefully disarticulated to evaluate the extent of cartilage debridement and surface area ratios were calculated. Results identified an average distance of 7.13 mm between the portal and the extensor tendon, with minor partial damage occurring to the tendon in 1/9 specimens. The proximal phalanx and metatarsal head ratios averaged 0.76 and 0.75, respectively, indicating approximately 76 % and 75 % of the respective joint surfaces were denuded. This study demonstrates comparable cartilage debridement to traditional open techniques based on historical data. Results of this study suggest that first metatarsophalangeal joint preparation can be effectively achieved with the use of a minimally invasive burr technique with fluoroscopic assistance, with a low risk of injury to the extensor hallucis longus tendon.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100487"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-28DOI: 10.1016/j.fastrc.2025.100486
Lisa Grant-McDonald , Anna Hronek , Adrienne Estes
Transverse bone transport (TBT) has emerged as a promising surgical intervention for foot dysvascular wounds, leveraging distraction osteogenesis principles to stimulate angiogenesis and neovascularization. This case series evaluates six patients who underwent TBT to treat recalcitrant ischemic wounds. Retrospective analysis assessed wound healing, vascular improvement, and procedural outcomes over a 12-month follow-up. The findings indicate that TBT promotes wound closure and limb preservation in patients with severe peripheral arterial disease, highlighting its potential as a viable limb salvage technique.
{"title":"Transverse bone transport for the treatment of dysvascular complex wounds of the foot: a case series","authors":"Lisa Grant-McDonald , Anna Hronek , Adrienne Estes","doi":"10.1016/j.fastrc.2025.100486","DOIUrl":"10.1016/j.fastrc.2025.100486","url":null,"abstract":"<div><div>Transverse bone transport (TBT) has emerged as a promising surgical intervention for foot dysvascular wounds, leveraging distraction osteogenesis principles to stimulate angiogenesis and neovascularization. This case series evaluates six patients who underwent TBT to treat recalcitrant ischemic wounds. Retrospective analysis assessed wound healing, vascular improvement, and procedural outcomes over a 12-month follow-up. The findings indicate that TBT promotes wound closure and limb preservation in patients with severe peripheral arterial disease, highlighting its potential as a viable limb salvage technique.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100486"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-25DOI: 10.1016/j.fastrc.2025.100480
Teeya Raghunandan DPM, Rahman Majid DPM, Raymond Ferguson DPM, Ashley T. Russo DPM, April Bailey-Maletta DPM
Stingray injuries to the lower extremity are far more common and dangerous than one may consider. Stingray venom has a multitude of local and systemic effects, including tissue necrosis, vasoconstriction, and ischemia.1,2,3 Due to the venomous nature of stingrays, these injuries should not be taken lightly, especially if a wound has been sustained. If left untreated, delayed wound healing leading to a chronic wound may occur.4,5 Prompt and urgent care should be taken with these patients to ensure the best healing probability. Herein, we report a 60-year-old male who developed a wound after sustaining a stingray injury to his foot.
{"title":"Stingray envenomation in the foot & its effects on wound healing: A case report","authors":"Teeya Raghunandan DPM, Rahman Majid DPM, Raymond Ferguson DPM, Ashley T. Russo DPM, April Bailey-Maletta DPM","doi":"10.1016/j.fastrc.2025.100480","DOIUrl":"10.1016/j.fastrc.2025.100480","url":null,"abstract":"<div><div>Stingray injuries to the lower extremity are far more common and dangerous than one may consider. Stingray venom has a multitude of local and systemic effects, including tissue necrosis, vasoconstriction, and ischemia.<sup>1,2,3</sup> Due to the venomous nature of stingrays, these injuries should not be taken lightly, especially if a wound has been sustained. If left untreated, delayed wound healing leading to a chronic wound may occur.<sup>4,5</sup> Prompt and urgent care should be taken with these patients to ensure the best healing probability. Herein, we report a 60-year-old male who developed a wound after sustaining a stingray injury to his foot.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100480"},"PeriodicalIF":0.0,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143592223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-21DOI: 10.1016/j.fastrc.2025.100482
Ramez Sakkab DPM , Hafsah Dean DPM , Scott Shoemaker MD , Ryan O'Shea MD
Computer-assisted surgery (CAS) is an innovative technology that provides surgeons with three-dimensional navigation (TDN) to optimize intraoperative visualization and guidance. Computer-assistance after intraoperative cone beam computed tomography is predominantly found in spinal surgery. The senior authors have applied the same principles and techniques to some lower extremity pathologies. The present study reviews lower extremity operative technique and safety profile with three-dimensional real-time navigation at a single institution. Technique for retrograde drilling of osteochondral lesions of the talus and pedal coalition resection(s) are presented. At our institution, thirty-five computer-assisted foot and ankle cases were identified from 2015 to 2022. Complications occurred in 8.6 % of cases (3/35). Over the past decade, the authors have employed a low dose protocol for intraoperative cone beam computed tomography. Doses from each tarsal coalition and talar osteochondral defect case were averaged, resulting in 1.48 and 1.14 milliGrays (mGy), respectively. Both surgeries demonstrate below 25 % of the annual background radiation dose (6.2 mGy). Further research is needed regarding three-dimensional navigation in foot and ankle surgery along with comparisons to radiation exposure via intraoperative fluoroscopy in similar cases.
{"title":"Three-dimensional navigation assisted pediatric foot and ankle surgery: Operative technique and safety profile","authors":"Ramez Sakkab DPM , Hafsah Dean DPM , Scott Shoemaker MD , Ryan O'Shea MD","doi":"10.1016/j.fastrc.2025.100482","DOIUrl":"10.1016/j.fastrc.2025.100482","url":null,"abstract":"<div><div>Computer-assisted surgery (CAS) is an innovative technology that provides surgeons with three-dimensional navigation (TDN) to optimize intraoperative visualization and guidance. Computer-assistance after intraoperative cone beam computed tomography is predominantly found in spinal surgery. The senior authors have applied the same principles and techniques to some lower extremity pathologies. The present study reviews lower extremity operative technique and safety profile with three-dimensional real-time navigation at a single institution. Technique for retrograde drilling of osteochondral lesions of the talus and pedal coalition resection(s) are presented. At our institution, thirty-five computer-assisted foot and ankle cases were identified from 2015 to 2022. Complications occurred in 8.6 % of cases (3/35). Over the past decade, the authors have employed a low dose protocol for intraoperative cone beam computed tomography. Doses from each tarsal coalition and talar osteochondral defect case were averaged, resulting in 1.48 and 1.14 milliGrays (mGy), respectively. Both surgeries demonstrate below 25 % of the annual background radiation dose (6.2 mGy). Further research is needed regarding three-dimensional navigation in foot and ankle surgery along with comparisons to radiation exposure via intraoperative fluoroscopy in similar cases.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 2","pages":"Article 100482"},"PeriodicalIF":0.0,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143892221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-21DOI: 10.1016/j.fastrc.2025.100485
Anthony Wing DO, Tung Dao DPM, Ryan Stone DPM, Daniel Degenova DO, Trent Davis DO, Benjamin Taylor MD
Talar neck fractures are rare and challenging injuries often associated with severe complications, including malunion, nonunion, and osteonecrosis. This case report highlights a novel surgical approach for managing a severely comminuted and displaced talar neck fracture with a substantial medial bone void using a tricorticocancellous cervical spine allograft. A 19-year-old male presented with a Hawkins IIA talar neck fracture, successfully treated through dual incision primary osteosynthesis, grafting, and stable internal fixation. Postoperative outcomes revealed radiographic union by four months, near-normal function at 17 months, and no evidence of avascular necrosis or malunion. This is the first reported case using a cervical spine allograft to address acute bone voids in talar neck fractures, demonstrating its viability as an alternative to autograft, with excellent functional and radiographic outcomes. The findings underscore the importance of innovative grafting techniques for managing complex talar injuries.
{"title":"A novel treatment of talar neck fractures with significant bone voids using cervical spine allograft","authors":"Anthony Wing DO, Tung Dao DPM, Ryan Stone DPM, Daniel Degenova DO, Trent Davis DO, Benjamin Taylor MD","doi":"10.1016/j.fastrc.2025.100485","DOIUrl":"10.1016/j.fastrc.2025.100485","url":null,"abstract":"<div><div>Talar neck fractures are rare and challenging injuries often associated with severe complications, including malunion, nonunion, and osteonecrosis. This case report highlights a novel surgical approach for managing a severely comminuted and displaced talar neck fracture with a substantial medial bone void using a tricorticocancellous cervical spine allograft. A 19-year-old male presented with a Hawkins IIA talar neck fracture, successfully treated through dual incision primary osteosynthesis, grafting, and stable internal fixation. Postoperative outcomes revealed radiographic union by four months, near-normal function at 17 months, and no evidence of avascular necrosis or malunion. This is the first reported case using a cervical spine allograft to address acute bone voids in talar neck fractures, demonstrating its viability as an alternative to autograft, with excellent functional and radiographic outcomes. The findings underscore the importance of innovative grafting techniques for managing complex talar injuries.</div></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"5 3","pages":"Article 100485"},"PeriodicalIF":0.0,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144501800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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