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

Publication/Presentation Date

4-2013

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.

Volume

30

Issue

2

First Page

251

Last Page

256

ISSN

1558-2302

Disciplines

Diseases | Medical Specialties | Medicine and Health Sciences | Orthopedics | Other Medical Specialties | Surgery

PubMedID

23465813

Department(s)

Department of Surgery

Document Type

Article

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