Transmalleolar Approach to a Tubercular Lytic Lesion of the Talar Body: A Case Report

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• 作者：Manzoor Ahmed Halwai MS¹ ; Bashir Ahmed Mir¹ ; Shabir Ahmed Dhar MS² ; ^{shabirdhar@yahoo.co.in"" rel=""nofollow} ; Tahir Ahmed Dar MS² ; Mohammed Farooq Butt MS²
• 关键词：bone biopsy ; osteomyelitis ; talus ; transmalleolar osteotomy ; tuberculosis
• 刊名：The Journal of Foot and Ankle Surgery
• 出版年：2011
• 出版时间：July-August 2011
• 年：2011
• 卷：50
• 期：4
• 页码：490-493
• 全文大小：678 K

文摘

Tuberculosis of the talus is a rare condition, and the diagnosis can be difficult to make because of inconclusive laboratory and ancillary testing. In such cases, accurate diagnosis and appropriate treatment may require the use of a transmalleolar osteotomy to gain access to the involved portion of the talar body. In the case described in this article, a transmalleolar approach was used to gain access to a lytic lesion of the talar body so as to obtain microbiological and histopathological specimens for diagnostic purposes, and to thoroughly debride the lesion. After 6 years of postsurgical follow-up, the patient was leading a normal life with a full range of ankle and subtalar motion. The rarity of the diagnosis, and the use of the transmalleolar approach to a lytic and likely infected lesion in the body of the talus, makes this case worthy of public discussion.