Skip to main content
Article
Concomitant Osteomyelitis and Avascular Necrosis of the Talus Treated with Talectomy and Tibiocalcaneal Arthrodesis
Clinics In Podiatric Medicine And Surgery
  • John J Stapleton, DPM, FACFAS, Lehigh Valley Health Network
  • Thomas Zgonis, DPM, FACFAS
Publication/Presentation Date
4-1-2013
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.

PubMedID
23465813
Document Type
Article
Citation Information

Stapleton, J., & Zgonis, T. (2013). Concomitant osteomyelitis and avascular necrosis of the talus treated with talectomy and tibiocalcaneal arthrodesis. Clinics In Podiatric Medicine And Surgery, 30(2), 251-256. doi:10.1016/j.cpm.2013.01.001