Retained talus post salvage talectomy in a child with rigid equinocavovarus foot: A case report and literature review

Thamar S Alhussainan; Abdullah Y Al-Marshad; Omar A Al-Mohrej

doi:10.1016/j.ijscr.2022.107284

Retained talus post salvage talectomy in a child with rigid equinocavovarus foot: A case report and literature review

Int J Surg Case Rep. 2022 Jul:96:107284. doi: 10.1016/j.ijscr.2022.107284. Epub 2022 Jun 10.

Authors

Thamar S Alhussainan¹, Abdullah Y Al-Marshad², Omar A Al-Mohrej¹

Affiliations

¹ Department of Orthopedic Surgery, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia.
² Department of Orthopedic Surgery, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia. Electronic address: al.marshad.ab@gmail.com.

Abstract

Introduction: Salvage Talectomy is a considered treatment for rigid equinocavovarus foot deformity that has different surgical techniques.

Case: This study reports on a 16-year-old girl with global developmental delay and bilateral rigid equinocavovarus feet. Underwent bilateral staged limb salvage talectomy.

Discussion: Surgical technique in talectomy being crucial as a means of avoiding remnants of the talus or cartilage. Surgical steps necessary for removing the talus as one piece and avoiding a piecemeal talectomy.

Conclusion: A principal reason for the failure or relapse of a talectomy is incomplete excision of the talus, resulting in a recurrence on the left side because of the retained talus. However, in this case study, this was successfully avoided by means of a technically revised talectomy.

Keywords: Clubfoot; Equinovarus; Recurrence; Talectomy.