Concomitant Osteomyelitis and Avascular Necrosis of the Talus Treated with Talectomy and Tibiocalcaneal Arthrodesis

John J. Stapleton, Thomas Zgonis

Research output: Contribution to journalReview article

6 Scopus citations

Abstract

The goal with Lisfranc fracture-dislocations is to regain joint congruity and reestablish midfoot stability to avoid debilitating posttraumatic arthrosis and chronic pain in the sensate patient. In the diabetic population, dense peripheral neuropathy and/or vascular disease are equally important and may alter the surgical approach to traumatic tarsometatarsal injuries. The initial diagnosis in the diabetic population may be delayed due to subtle radiographic findings and/or patient unawareness of trauma in the insensate foot. Failure to initiate treatment in the early stages of acute diabetic neuropathic Lisfranc injuries can predispose the patient to midfoot instability, potential ulceration, infection, and Charcot neuroarthropathy.

Original languageEnglish (US)
Pages (from-to)251-256
Number of pages6
JournalClinics in podiatric medicine and surgery
Volume30
Issue number2
DOIs
StatePublished - Apr 1 2013

Keywords

  • Avascular necrosis
  • Charcot foot
  • External fixation
  • Neuropathy
  • Osteomyelitis
  • Talus

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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