Introduction: Neglected talus fractures, complicated by avascular necrosis and subsequent malunion, present a challenging clinical scenario. The talus is a critical component of the ankle joint, and its compromised structural integrity can significantly impact a patient's functional outcomes. This case report explores the management of avascular necrosis-induced malunion of the talus, focusing on the application of arthrodesis and bone grafting as a reconstructive solution .
Case Presentation: We present a case of a neglected left talus fracture in a 20-year-old female patient with a history of delayed presentation and subsequent avascular necrosis, leading to malunion and progressive debilitating ankle pain since 4 months ago. Comprehensive clinical and radiological assessments confirmed the extent of the malunion and the necessity for intervention. Surgical treatment involved arthrodesis to restore joint stability and alignment, along with bone grafting to address the bone defect resulting from avascular necrosis. Post-operative follow-up showed significant improvements in pain relief and functional outcomes.
Conclusion: This case report highlights the effective use of arthrodesis and bone grafting in managing malunion of the talus following avascular necrosis in a neglected fracture. While challenging, a tailored surgical approach can provide patients with significant pain relief and improved functional outcomes, thus underscoring the importance of early recognition and appropriate intervention in cases of talus fractures. Further studies and long-term follow-up are necessary to evaluate the durability and success rates of such interventions.