PDF(Pubmed)
Abstract：
Talar metastases from malignant tumors are rare and poorly documented. Treatment requires gradual relief of pain and preservation of function, with a choice between palliative measures and surgery. This case indicates that total talar replacement is an effective intervention for localized talar metastases and highlights the importance of early intervention. A 48-year-old man was diagnosed with a pathologic talar fracture due to talar metastases was observed after 8 years of chemotherapy following a diagnosis of lung adenocarcinoma. Despite radiotherapy, the patient\'s activities of daily living (ADLs) deteriorated due to pain on walking, prompting a request for surgical intervention. Total talar replacement was performed, allowing the patient to begin full weight-bearing ambulation 2 weeks post-operatively. Total talar replacement appears to be an effective treatment for localized talar metastases and should be performed as early as possible.
摘要：
恶性肿瘤的距骨转移很少见，文献记录也很少。治疗需要逐渐缓解疼痛和保留功能，在姑息措施和手术之间做出选择。此病例表明，全距骨置换是局部距骨转移的有效干预措施，并强调了早期干预的重要性。在诊断为肺腺癌后，经过8年的化疗后，观察到一名48岁的男子因距骨转移而被诊断为病理性距骨骨折。尽管有放疗,患者的日常生活活动（ADLs）恶化由于疼痛行走，提示手术干预的请求。进行全距骨置换，允许患者在术后2周开始完全负重行走。全距骨置换似乎是局部距骨转移的有效治疗方法，应尽早进行。
