case_images: PMC4603320_01
case_images: Radiograph at initial presentation to our institution, demonstrating nonunion of talar neck fracture below tibiotalar arthrodesis.
case_images: CRIOR2015-927259.001.jpg
case_images: PMC4603320_01_CRIOR2015-927259.001.jpg
case_images: fig1
case_images: Radiographs (Figure 1) revealed an established nonunion of the talar neck along with subtalar arthritis and calcification of the vessels.
case_images: CT scan at presentation: sagittal slices demonstrate size of distal fragment. (a) Medial slice, (b) central slice, and (c) lateral slice.
case_images: CRIOR2015-927259.002.jpg
case_images: PMC4603320_01_CRIOR2015-927259.002.jpg
case_images: fig2
case_images: It also confirmed a solid tibiotalar fusion and subtalar arthritis as per the plain radiology (Figures 2 and 3).
case_images: CT scan at presentation: axial slices demonstrate size of distal fragment.
case_images: CRIOR2015-927259.003.jpg
case_images: PMC4603320_01_CRIOR2015-927259.003.jpg
case_images: fig3
case_images: It also confirmed a solid tibiotalar fusion and subtalar arthritis as per the plain radiology (Figures 2 and 3).
case_images: Immediate postoperative radiograph.
case_images: CRIOR2015-927259.004.jpg
case_images: PMC4603320_01_CRIOR2015-927259.004.jpg
case_images: fig4
case_images: Three 6.5 mm partially threaded cannulated screws were placed to secure the fusion: from the calcaneus to the distal tibia, from the calcaneus to the anterior talus, and posteroanteriorly across the talar nonunion (Figure 4).
case_images: Three-month postsurgery radiographs.
case_images: CRIOR2015-927259.005.jpg
case_images: PMC4603320_01_CRIOR2015-927259.005.jpg
case_images: fig5
case_images: At a three-month postoperative review in October 2013, the patient reported no pain around the ankle and subtalar joint, and the plain radiograph showed progression of union (Figure 5).
case_images: CT demonstrating subtalar fusion and some union across talar neck.
case_images: CRIOR2015-927259.006.jpg
case_images: PMC4603320_01_CRIOR2015-927259.006.jpg
case_images: fig6
case_images: A CT scan was requested to assess union in more detail (Figure 6) prior to removal of the walker boot.