CPT® Code 28130

A talectomy, also known as an astragalectomy, is a surgical procedure that involves the removal of the talus, which is one of the seven tarsal bones in the human foot. The talus is a critical bone located at the top of the foot, forming a joint with the tibia and fibula, the two long bones of the lower leg. This procedure is typically indicated in cases where the talus is damaged or diseased, necessitating its removal to alleviate pain or restore function. The surgery is performed through an anterolateral approach, which allows the surgeon to access the talus effectively while minimizing damage to surrounding structures. During the procedure, the extensor tendons and nearby blood vessels are carefully mobilized to provide a clear view of the talus. All ligamentous and capsular attachments are meticulously released to facilitate the removal of the talus. After the talus is excised, the calcaneus, or heel bone, is repositioned posteriorly, and the surgical site is thoroughly inspected to ensure that no remnants of the talus remain. The calcaneus is then aligned with the distal tibia, and the foot is placed in a balanced plantigrade position, which is essential for proper healing and function. To maintain this alignment, a pin is inserted across the calcaneus and into the tibia, and a cast is applied to immobilize the foot and ankle during the recovery process.