Arthroscopy and Micronized Allogenic Cartilage Matrix Grafting for a Missed Talus Nonunion: A Case Report. Issue 1 (January 2022)

• Record Type: Journal Article
• Authors: Mathew, Justin; Mahjoub, Adel; Freeland, Erik
• Is Part Of: JBJS case connector. Volume 12:Issue 1(2022)
• Publication Date: 2022-01
• Subjects: talus -- fracture -- nonunion -- Talar Nonunion -- Arthroscopy -- Micronized Allogenic Cartilage Matrix; Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.21.00608
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: A 33-year-old man who had experienced polytraumatic injury from a motorcycle collision 5 months previously presented to the clinic with right ankle pain. On physical examination, anterior ankle tenderness was present, and imaging revealed a previously unrecognized nondisplaced talar body fracture with a chondral defect. The patient underwent arthroscopy of the right ankle, which influenced the senior author to perform a medial malleolar osteotomy and subsequent open reduction internal fixation with micronized allogenic cartilage matrix. Conclusion: Arthroscopy provides valuable information for the surgical planning of talar nonunions, and allogenic cartilage matrix graft may provide benefit with associated chondral defects.