Infected talar malunion treated with fresh tibiotalar allograft: A case report

Abstract

Talus fractures are rare injuries, with an incidence ranging from 0.1% to 0.85% of all fractures. Due to their complex anatomy and specific irrigation patterns, they pose a significant therapeutic challenge for orthopedic surgeons. The talus lacks muscle attachments, receives most of its irrigation through small terminal branches, and bears much of the hindfoot’s loads, making it especially vulnerable to avascular necrosis, malunion, and other complications. We present a patient managed with a fresh tibiotalar autograft, with favorable short- and long-term outcomes. Level of evidence: IV