Tibiotalocalcaneal arthrodesis in a rare case of tuberculosis of the talus.
Chiara ComisiTommaso GrecoMichele InversoAntonio MascioChiara PolichettiMarco BarbalisciaVincenzo La VergataMassimiliano MoscaSilvio CaravelliNicola MondanelliElisa TroianoGiulio MaccauroCarlo PerisanoPublished in: Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina (2024)
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.
Keyphrases
- mycobacterium tuberculosis
- rare case
- bone mineral density
- pulmonary tuberculosis
- hiv aids
- case report
- soft tissue
- healthcare
- chronic pain
- bone regeneration
- bone loss
- high resolution
- adverse drug
- postmenopausal women
- emergency department
- working memory
- spinal cord injury
- risk factors
- body composition
- mesenchymal stem cells
- adipose tissue
- neuropathic pain
- photodynamic therapy
- skeletal muscle
- mass spectrometry
- smoking cessation
- cell therapy
- combination therapy