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Talar fractures arthroscopy

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https://www.readbyqxmd.com/read/26992909/mri-of-the-anterior-talofibular-ligament-talar-cartilage-and-os-subfibulare-comparison-of-isotropic-resolution-3d-and-conventional-2d-t2-weighted-fast-spin-echo-sequences-at-3-0%C3%A2-t
#1
Jisook Yi, Jang Gyu Cha, Young Koo Lee, Bo Ra Lee, Chan Hong Jeon
PURPOSE: To determine the accuracy of a three-dimensional (3D) T2-weighted fast spin-echo (FSE) magnetic resonance (MR) sequence compared with two-dimensional (2D) sequence for diagnosing anterior talofibular ligament (ATFL) tears, chondral lesion of the talus (CLT) and os subfibulare/avulsion fracture of the distal fibula (OSF). MATERIALS AND METHODS: Thirty-five patients were included, who had undergone ankle MRI with 3D T2-weighted FSE and 2D T2-weighted FSE sequences, as well as subsequent ankle arthroscopy, between November 2013 and July 2014...
July 2016: Skeletal Radiology
https://www.readbyqxmd.com/read/26810230/-arthroscopic-treatment-of-chondral-lesions-of-the-ankle-joint-evidence-based-therapy
#2
M Thomas, M Jordan, E Hamborg-Petersen
Ankle sprains are the most relevant injuries of the lower extremities and can lead to damage to ligaments and osteochondral lesions. Up to 50 % of patients with a sprained ankle later develop a lesion of the cartilage in the ankle joint or an osteochondral lesion of the talus. This can lead to osteoarthritis of the injured ankle joint. Spontaneous healing is possible in all age groups in cases of a bone bruise in the subchondral bone but in isolated chondral injuries is only useful in pediatric patients. In many cases chondral and osteochondral injuries lead to increasing demarcation of the affected area and can result in progressive degeneration of the joint if not recognized in time...
February 2016: Der Unfallchirurg
https://www.readbyqxmd.com/read/26646107/outcome-of-arthroscopic-treatment-of-posterior-impingement-of-the-ankle
#3
Dominic S Carreira, Anand Mahesh Vora, Kelly L Hearne, John Kozy
BACKGROUND: Open and arthroscopic techniques have been utilized in the treatment of posterior impingement of the ankle and hindfoot. Because posterior impingement occurs more frequently in patients who repetitively plantarflex the ankle, this population may especially benefit from a procedure that reduces pain and results in maximal range of motion (ROM). The purpose of this study was to assess the outcome of hindfoot endoscopy in patients with posterior ankle impingement through a higher level of function outcome measures and physical examination parameters, focused on analysis of ROM...
April 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/26048588/anatomic-feasibility-study-of-posterior-arthroscopic-tibiotalar-arthrodesis
#4
Louis Malekpour, Said Rahali, Fabrice Duparc, Franck Dujardin, Xavier Roussignol
BACKGROUND: Operative indications for an anterior arthroscopic tibiotalar arthrodesis are well defined. A posterior approach with the patient in a prone position may be indicated when the anterior approach is precluded by the soft tissue condition or for a 1-step procedure associated with posterior approach subtalar fusion. METHODS: An anatomic study assessed the feasibility of posterior arthroscopic tibiotalar fusion and sought to determine arthroscopy entry points, mortise cartilage freshening quality, and the risk of osseous, tendinous, vascular, and neural complications...
October 2015: Foot & Ankle International
https://www.readbyqxmd.com/read/25973380/arthroscopic-reduction-and-internal-fixation-for-fracture-of-the-lateral-process-of-the-talus
#5
Hiroki Funasaki, Hiroteru Hayashi, Hajime Sugiyama, Keishi Marumo
Fractures of the lateral process of the talus (LPT) are relatively rare. We describe arthroscopic reduction and internal fixation for a type I fracture of the LPT according to the Hawkins classification. Preoperative computed tomography is necessary to evaluate the type and displacement of the LPT fracture because this type of fracture is often overlooked on a plain radiograph. The ankle is approached through a standard medial portal as the working portal and an anterolateral portal as the viewing portal. A 2...
February 2015: Arthroscopy Techniques
https://www.readbyqxmd.com/read/25035846/delayed-presentation-of-a-loose-body-in-undisplaced-paediatric-talar-neck-fracture
#6
Vishal Patel, Benjamin Bloch, Nicholas Johnson, Jitendra Mangwani
Fractures of the talus are rare in children. A high index of suspicion is needed to avoid missing such an injury, which is not an uncommon occurrence especially with undisplaced fractures. We present an unusual case of an undisplaced talar neck fracture in a five-year-old child leading to a delayed presentation of a symptomatic osteochondral loose body in the ankle joint. To our knowledge there are no reports in the literature of osteochondral loose bodies occurring in conjunction with an associated undisplaced talar neck fracture in either children or adults...
July 18, 2014: World Journal of Orthopedics
https://www.readbyqxmd.com/read/24781454/the-role-of-demineralized-allograft-subchondral-bone-in-the-treatment-of-talar-cystic-ocd-lesions-that-have-failed-microfracture
#7
Stephen A Brigido, Nicole M Protzman, Melissa M Galli, Scott T Bleazey
UNLABELLED: Cystic talar shoulder defects are particularly challenging osteochondral lesions. A retrospective chart review was performed on 13 adults that previously failed microfracture, presented with medial cystic osteochondral lesions of the talus, and were treated with malleolar osteotomy and subchondral allograft reconstruction. The aim of the study was to evaluate the effect of a medial malleolar osteotomy and allograft subchondral bone plug on pain and function. We hypothesized that following surgery, pain and function would significantly improve...
October 2014: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/23780543/operative-treatment-of-osteochondral-lesions-of-the-talus
#8
REVIEW
Christopher D Murawski, John G Kennedy
➤ Osteochondral lesions of the talus are common injuries in recreational and professional athletes, with up to 50% of acute ankle sprains and fractures developing some form of chondral injury. Surgical treatment paradigms aim to restore the articular surface with a repair tissue similar to native cartilage and to provide long-term symptomatic relief.➤ Arthroscopic bone-marrow stimulation techniques, such as microfracture and drilling, perforate the subchondral plate with multiple openings to recruit mesenchymal stem cells from the underlying bone marrow to stimulate the differentiation of fibrocartilaginous repair tissue in the defect site...
June 5, 2013: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/23579227/an-anterior-ankle-arthroscopic-technique-for-retrograde-osteochondral-autograft-transplantation-of-posteromedial-and-central-talar-dome-cartilage-defects
#9
Anthony Wajsfisz, Konstantinos G Makridis, Omar Naji, Caroline Hirsh, Philippe Boisrenoult, Philippe Beaufils
PURPOSE: The purpose of this study was to present an arthroscopic technique for the treatment for posteromedial and central cartilage defects of the talus using anterior arthroscopic portals and without performing a medial malleolar osteotomy. METHODS: Nine fresh cadavers were dissected. Autografts were implanted under arthroscopy using a retrograde osteochondral transplantation system, and their position was estimated using specific angular calibrators and later confirmed by software analysis of two photographs of the disarticulated ankle joint...
June 2014: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/23427584/-clinical-results-of-anatomical-reconstruction-of-the-lateral-ligaments-for-chronic-ankle-instability
#10
Lei Zhang, Zhi-Yao Li, Jin-Song Liu, Jin Sun, Jia Ma, Sheng Zhang, Xiao-Hua Liu
OBJECTIVE: To investigate the clinical and radiological results of lateral stabilization with reconstruction of the lateral ligaments for the treatment of chronic lateral instability of the ankle. METHODS: From September 2005 to March 2010, 29 patients with chronic lateral instability of the ankle were reviewed. There were 24 males and 5 females with an average age of 24 years (15 to 35 years). The duration of the disease ranged from 7 to 10 years, averaged 10 months...
November 2012: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/22892211/outcome-of-arthroscopic-debridement-and-microfracture-as-the-primary-treatment-for-osteochondral-lesions-of-the-talar-dome
#11
REVIEW
Michael P Donnenwerth, Thomas S Roukis
PURPOSE: The purpose of this systematic review was to determine patient outcomes after arthroscopic debridement and microfracture for osteochondral lesions (OCLs) of the talar dome. METHODS: Infotrieve-PubMed/MEDLINE and Google Scholar were systematically searched for the following terms: microfracture AND ankle OR talus. In addition, we hand-searched common American and European orthopaedic and podiatric surgical journals for relevant manuscripts. Articles considered for inclusion were published in peer-reviewed journals, used the American Orthopaedic Foot & Ankle Society hindfoot scoring system for outcome measurement, and involved arthroscopic debridement and microfracture for OCL of the talar dome...
December 2012: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/22426574/posterior-ankle-and-subtalar-arthroscopy-indications-technique-and-results
#12
Francesco Gasparetto, Gianluca Collo, Gabriele Pisanu, Domenico Villella, Luca Drocco, Raul Cerlon, Davide Edoardo Bonasia
Over the decades, arthroscopy has grown in popularity for the treatment of many foot and ankle pathologies. While anterior ankle arthroscopy is a widely accepted technique, posterior ankle/subtalar arthroscopy is still a relatively new procedure. The goal of this review is to outline the indications, surgical techniques, and results of posterior ankle/subtalar arthroscopy. The main indications include: 1) osteochondral lesions (of subtalar and posterior ankle joint); 2) posterior soft tissue or bony impingement; 3) os trigonum syndrome; 4) posterior loose bodies; 5) flexor hallucis longus (FHL) tenosynovitis; 6) posterior synovitis; 7) subtalar (or ankle) joint arthritis; 8) posterior tibial, talar, or calcaneal fractures (for arthroscopic reduction and internal fixation)...
June 2012: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/22381240/osteosynthesis-of-talar-body-shear-fractures-assisted-by-hindfoot-and-subtalar-arthroscopy-technique-tip
#13
Wolfgang Sitte, Christoph Lampert, Patrick Baumann
No abstract text is available yet for this article.
January 2012: Foot & Ankle International
https://www.readbyqxmd.com/read/22138532/arthroscopic-de-novo-nt-%C3%A2-juvenile-allograft-cartilage-implantation-in-the-talus-a-case-presentation
#14
Dustin L Kruse, Alan Ng, Matthew Paden, Paul A Stone
Osteochondral defects of the talus are a challenging subject facing foot and ankle surgeons. The available treatment options have relatively good subjective outcomes; however, they are limited by the ability to reproduce hyaline cartilage, the need for multiple surgeries, and high morbidity. We present a new technique using DeNovo NT(®) juvenile allograft cartilage implantation introduced into a talar lesion arthroscopically in a single procedure to repair a posteriomedial talar osteochondral defects in a healthy, active 30-year-old female...
March 2012: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/22048748/arthroscopic-treatment-of-a-talar-neck-fracture-a-case-report
#15
Anthony Wajsfisz, Konstantinos G Makridis, Ronan Guillou, Nicolas Pujol, Philippe Boisrenoult, Philippe Beaufils
UNLABELLED: Talar neck fractures are severe injuries, and their complications can lead to significant functional disability. Open reduction and internal fixation still constitute the treatment of choice. We report a case of a patient with a Hawkins type III talar neck fracture who was treated successfully with the use of an entirely arthroscopic technique. Four arthroscopic portals were used to control fracture reduction and fixation, which was made by two cannulated screws. There were no complications, and the patient returned uneventfully to her previous daily activities...
September 2012: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/21464216/the-role-of-arthroscopy-in-the-management-of-fractures-about-the-ankle
#16
REVIEW
Davide E Bonasia, Roberto Rossi, Charles L Saltzman, Annunziato Amendola
Anatomic restoration of the joint is the goal of management in fractures about the ankle. Open reduction and internal fixation (ORIF) is the standard of care for unstable ankle fractures; however, arthroscopic management has been proposed. The use of arthroscopic reduction and internal fixation (ARIF) is surgeon-dependent. Reported indications for ARIF include transchondral talar dome fracture, talar fracture, low-grade fracture of the distal tibia, syndesmotic disruption, malleolar fracture, and chronic pain following definitive management of fracture about the ankle...
April 2011: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/21209270/salvage-of-chronic-instability-of-the-syndesmosis-with-distal-tibiofibular-arthrodesis-functional-and-radiographic-results
#17
Kirstina M Olson, Gregory H Dairyko, Brian C Toolan
BACKGROUND: Failure to treat an injury of the syndesmosis after an ankle fracture can lead to a poor functional outcome and posttraumatic arthritis. The results after reconstruction of an ankle with an incongruous mortise, chronic diastasis of the syndesmosis, and arthritis remain unknown. The purpose of the present study was to review the radiographic and clinical results of salvaging this condition through reduction and arthrodesis of the distal tibiofibular articulation. METHODS: Ten patients (mean age, fifty-four years) with chronic syndesmotic instability who underwent salvage by a single surgeon were evaluated retrospectively...
January 5, 2011: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/21047600/unusual-orientation-of-talar-osteochondral-fragment-a-case-report
#18
Allison M Wade, Jorge Bustillo
The identification of the correct orientation of an osteochondral fragment can be challenging. Orthopaedists have been able to take advantage of advanced imaging techniques to provide guidance to the appropriate surgical intervention. Many advancements have been made in imaging modalities specific to articular cartilage [Fischbach F, Bruhn H, Unterhauser F, Ricke J, Wieners G, Felix R, et al. Magnetic resonance imaging of hyaline cartilage defects at 1.5T and 3.0T: comparison of medium T2-weighted fast spin echo, T1-weighted two-dimensional and three-dimensional gradient echo pulse sequences...
December 2010: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/19968219/subtalar-arthroscopic-procedures-for-the-treatment-of-subtalar-pathologic-conditions-115-consecutive-cases
#19
Jae Hoon Ahn, Sang Ki Lee, Kap Jung Kim, Yong In Kim, Won Sik Choy
Arthroscopic procedures of subtalar pathology has shown promising results in previous studies, but the number of patients was relatively small. This article describes our experience and evaluated the clinical outcomes of 115 patients treated with subtalar arthroscopy for a range of subtalar pathologies. One hundred fifteen patients were followed up for >1 year after undergoing a subtalar arthroscopic procedure. Mean patient age was 40 years, and mean follow-up period was 42 months. Preoperative diagnosis included sinus tarsi syndrome in 31 patients, degenerative arthritis in 30, calcaneal fracture in 15, arthrofibrosis in 10, os trigonum syndrome in 8, talar fracture in 5, talocalcaneal coalition in 7, and calcaneal tumor in 1...
December 2009: Orthopedics
https://www.readbyqxmd.com/read/19560647/arthroscopically-assisted-transfibular-talar-dome-fixation-with-a-headless-screw
#20
Andrew Dodd, David Simon, Ross Wilkinson
We describe an articular talar dome fracture treated with the use of an arthroscopically assisted placement of a transfibular Acutrak screw (Accumed, Hillsboro, OR). This minimally invasive technique can be used to avoid the large incision used in the traditional open reduction and internal fixation of these fractures. Accurate reduction and stable fixation of fractures of the articular surface of the talus is a must, and this technique allows this while avoiding the morbidity of the open approach.
July 2009: Arthroscopy: the Journal of Arthroscopic & related Surgery
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