Journal of Foot and Ankle Surgery
Volume 48, Issue 5 , Pages 585-588, September 2009

Osteochondral Autologous Graft in the Treatment of an Open Talar Fracture: A Case Report

  • Jorge Bowakim, MD

      Affiliations

    • Orthopaedic Surgeon, 12 de Octubre University Hospital, Madrid, Spain
    • Corresponding Author InformationAddress correspondence to: Jorge Bowakim, Avenida Betanzos 85, 2°C. 28034, Madrid, Spain.
    • ,
  • Javier López-Goenaga, MD

      Affiliations

    • Orthopaedic Surgeon, 12 de Octubre University Hospital, Madrid, Spain
    • ,
  • Javier Mayo, MD

      Affiliations

    • Orthopaedic Surgeon, 12 de Octubre University Hospital, Madrid, Spain
    • ,
  • Julián del Río, MD

      Affiliations

    • Orthopaedic Surgeon, Infanta Sofía Hospital, San Sebastián de los Reyes, Madrid, Spain

published online 21 July 2009.

We present the case of a 39-year-old man who sustained an open talar fracture of the right lower extremity and a supracondylar traumatic amputation of the left lower extremity. We used osteochondral chips from the femoral condyles of the amputated extremity as an autologous graft to reconstruct the talus and fixated these with Barouk screws. Two years postsurgery, the patient was pain free and without functional limitations, and his American Orthopaedic Foot and Ankle Society Scale score was 92, despite showing radiographic evidence of ankle joint space narrowing. Level of Clinical Evidence: 4

Key Words: amputation, Barouk screw, Gustilo classification, motorcycle

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 Financial Disclosure: None reported.

 Conflict of Interest: None reported.

PII: S1067-2516(09)00283-X

doi:10.1053/j.jfas.2009.06.011

Journal of Foot and Ankle Surgery
Volume 48, Issue 5 , Pages 585-588, September 2009

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