# Total talar replacement for metastatic pulmonary adenocarcinoma of the talus: A case report

## TL;DR

A 48-year-old man with metastatic lung cancer to the talus underwent total talar replacement surgery, which helped restore his ability to walk and manage pain.

## Contribution

This case report demonstrates that total talar replacement is an effective surgical option for localized talar metastases.

## Key findings

- Total talar replacement allowed the patient to begin full weight-bearing ambulation two weeks post-surgery.
- The procedure improved the patient's activities of daily living despite prior radiotherapy and chemotherapy.
- Early surgical intervention is recommended for talar metastases to preserve function and relieve pain.

## 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.