Volume : 3, Issue : 5, May - 2014

A Novel Method of Tibiotalar Arthrodesis For Avascular Necrosis Talus

Dr. Naveen Sharma, Dr. Vaibhav Krishna, Dr Shailendra Pratap Singh, Dr Agrawal Ashish Rakesh, Dr. Nirmal Jain

Abstract :

INTRODUCTION Fracture of neck and body of talus is a devastating injury; complicated with dislocations of surrounding joints and avascular necrosis of talus. We modified the Blair’s fusion procedure to provide extra stability thus achieving a solid union in cases with AVN of talus. MATERIALS AND METHOD In our series, six cases with osteonecrosis of body of talus were included. Five were male and one was female. Median age was approximately thirty years. Mean follow–up period was 20 months. RESULT. Tibiotalar fusion was achieved in all the ankles at an average of 22 weeks. Three cases out of six were considered as with excellent outcome, three were with good outcome after follow up. CONCLUSION Our technique may be opted for patients who present with AVN of talar body. It provides extra rotational stability for graft, normal appearing foot, no shortening, allowing motion at the talonavicular and anterior subtalar joints