Abstract
We reported a case of Blair fusion for idiopathic avascular necrosis of the talus.
The patient is a 55-year-old female who complained of a pain in the right ankle. A bone scan and a magnetic resonance image of the tales revealed avascular necrosis. We performed a free vascularized iliac bone graft. One year after the operation, X-ray films and a magnetic resonance image showed that the grafted bone had been vascularized, but the dome of the talus had collapsed. The Blair fusion was performed with a Steinmann pin and a staple using a vascularized bone graft that had been carried out at the first operation.
The procedure resulted in a good union of the talus with the tibia without deformity and shortening.
