Reconstrucción secundaria de seudoartrosis del cuerpo del astrágalo tras fractura no diagnosticada / Secondary reconstruction of pseudoarthrosis of the astragalus body after undiagnosed fracture

RESUMEN

La seudoartrosis es una complicación que se presenta en hasta un 12% de las fracturas del astrágalo. Ante esta situación se plantean 2opciones de tratamiento principales, la artrodesis y la reconstrucción secundaria. En este texto presentamos el caso de un paciente que sufrió dicha complicación tras no diagnosticarse la fractura que presentaba y se optó por la reconstrucción secundaria, con buenos resultados:

ABSTRACT

Pseudoarthrosis is a complication that occurs in up to 12% of astragalus fractures. In this situation, 2main treatment options are considered arthrodesis and secondary reconstruction. In this text we present the case of a patient who suffered this complication after not being diagnosed with the fracture he suffered and opted for secondary reconstruction with good results. Fracture nonunion affects up to 12% of patients suffering a talar fracture. Classically, most authors proceed to joint arthrodesis when facing such complication. A more recent approach consists on secondary reconstruction of the nonunion. In this paper we present the case of a reconstructed talar nonunion after an unnoticed talar body fracture with encouraging results: