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Reimplantation of a Totally Extruded TalusA Case Report
K.L. Apostle, MD1; T. Umran, MD, FRCSC1; M.J. Penner, FRCSC1
1 Division of Distal Extremities (M.J.P.), Department of Orthopaedics (K.L.A., T.U., M.J.P.), University of British Columbia, 3114-910 West 10th Avenue, Vancouver, BC V5Z 4E3, Canada. E-mail address for K.L. Apostle: kapostle@me.com
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Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. One or more of the authors, or a member of his or her immediate family, received, in any one year, payments or other benefits of less than $10,000 or a commitment or agreement to provide such benefits from commercial entities (Wright Medical Technologies and Integra LifeSciences).

Investigation performed at the Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada

Copyright ©2010 American Society for Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2010 Jul 07;92(7):1661-1665. doi: 10.2106/JBJS.I.00867
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Total talar extrusion is a rare injury, and its management is controversial1-12. The prognosis after reimplantation is guarded because of the presumably high rate of talar osteonecrosis. However, the physiology surrounding talar revascularization in this setting is not well understood. We present the case of a thirty-nine-year-old man who had a totally extruded talus without a fracture and was treated with acute primary reimplantation. In an attempt to improve the current understanding of talar vascularity after reimplantation, we followed the patient for five years with serial clinical evaluations, radiographs, and magnetic resonance imaging studies. The patient was informed that data concerning the case would be submitted for publication, and he consented.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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