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Talar fractures

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https://www.readbyqxmd.com/read/29887638/combined-ipsilateral-fracture-of-the-tibial-pilon-talar-body-and-calcaneus-outcome-at-4-years
#1
Henriette Bretschneider, Stefan Rammelt
Combined fractures of the talar body and the adjacent bones are rare. We present a case of a 35-year-old male with a complex foot and ankle trauma resulting in an unusual combined ipsilateral fracture of the anterolateral tibial plafond, talar body, and sustentaculum tali of the calcaneus. To the best of our knowledge, this particular combination of fractures has not yet been reported in the literature. The combination of talar body fracture with fractures of the adjacent bones was treated by a bilateral open reduction with anatomic reconstruction of the joint surfaces resulting in an excellent clinical outcome at 4-year followup...
May 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29887631/management-options-in-avascular-necrosis-of-talus
#2
Mandeep S Dhillon, Balvinder Rana, Inayat Panda, Sandeep Patel, Prasoon Kumar
Avascular necrosis (AVN) of the talus can be a cause of significant disability and is a difficult problem to treat. The most common cause is a fracture of the talus. We have done a systematic review of the literature with the following aims: (1) identify and summarize the available evidence in literature for the treatment of talar AVN, (2) define the usefulness of radiological Hawkins sign and magnetic resonance imaging in early diagnosis, and (3) provide patient management guidelines. We searched MEDLINE and PUBMED using keywords and MESH terminology...
May 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29887629/surgical-treatment-of-posteromedial-talus-fractures-technique-description-and-results-of-10-cases
#3
Michael Swords, John Shank, Stephen Benirschke
Background: The aim of this study is to describe a surgical technique for successful treatment of posteromedial talar body fractures and establish treatment recommendations for fractures of the posterior aspect of the talus. Materials and Methods: Ten patients treated operatively for a posteromedial talar body fractures entering both the subtalar and ankle articulations with a minimum of 1-year followup were identified from a trauma database. Age, mechanism of injury, associated injuries, time to surgery, complications, the range of motion, secondary procedures, and need for arthrodesis were evaluated...
May 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29887628/management-of-talar-body-fractures
#4
S R Sundararajan, Abdul Azeem Badurudeen, R Ramakanth, Shanmuganathan Rajasekaran
Fractures of talar body are uncommon injuries often associated with fractures of other long bones and in polytraumatized patients. The integrity of the talus is essential for the normal function of the ankle, subtalar, and midtarsal joints. The relative infrequency of this injury limits the number of studies available to guide treatment. They occur as a result of high-velocity trauma and are therefore associated with considerable soft tissue damage. Axial compression with supination or pronation is the common mechanism of injury...
May 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29860866/soft-tissue-structures-at-risk-with-percutaneous-posterior-to-anterior-screw-fixation-of-the-talar-neck
#5
Lauren E Roberts, Martim Pinto, Jackson R Staggers, Alexandre Godoy-Santos, Ashish Shah, Cesar de Cesar Netto
BACKGROUND: Fractures of the talar neck and body can be fixed with percutaneously placed screws directed from anterior to posterior or posterior to anterior. The latter has been found to be biomechanically and anatomically superior. Percutaneous guidewire and screw placement poses anatomic risks for posterolateral and posteromedial neurovascular and tendinous structures. The objective of this study was to determine the injury rate to local neurovascular and tendinous structures using this technique in a cadaveric model...
June 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29852385/treatment-for-displaced-sustentaculum-tali-fractures
#6
Mohamed E Al-Ashhab, Amr Salem Elgazzar
BACKGROUND: Sustentaculum tali fractures are rare foot fractures accounting for 1% of all calcaneal fractures, which accounts for about 1-2% of all bone fractures. Since the importance of sustentaculum tali in maintaining the medial foot arch, its fractures should be dealt with anatomical fixation to avoid post-traumatic arthrosis. OBJECTIVE: Is to delineate the importance of sustentacular tali fractures fixation mentioning operative technique and the post-operative outcome...
December 28, 2017: Foot
https://www.readbyqxmd.com/read/29798583/-effectiveness-analysis-of-ilizarov-external-fixation-and-ankle-arthrodesis-in-treatment-of-late-traumatic-ankle-arthritis
#7
Jun Li, Zeyu Huang, Yue Fang, Fuguo Huang, Lei Liu
Objective: To evaluate the effectiveness of Ilizarov external fixation and ankle arthrodesis in the treatment of late traumatic ankle arthritis. Methods: Between June 2013 and June 2015, 27 patients with late traumatic ankle arthritis were treated with Ilizarov external fixation technique. There were 16 males and 11 females with an age of 27-69 years (mean, 45.7 years). Sixteen cases were on the left side, 11 on the right side. All the patients suffered from traumatic ankle fractures or ligament damages caused by initial traumas...
November 1, 2017: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29701100/in-defence-of-the-posterior-malleolus
#8
T O White
The posterior malleolus of the ankle is the object of increasing attention, with considerable enthusiasm for CT scanning and surgical fixation, as expressed in a recent annotation in The Bone & Joint Journal. Undoubtedly, fractures with a large posterior malleolar fragment that allow posterior talar subluxation from the mortise are served better by fixation. However, in all other situations, the existing literature does not support this widespread change in practice. The available biomechanical evidence shows that the posterior malleolus has little part to play in the stability or contact stresses of the ankle joint...
May 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29696318/microfracture-provides-better-clinical-results-than-debridement-in-the-treatment-of-acute-talar-osteochondral-lesions-using-arthroscopic-assisted-fixation-of-acute-ankle-fractures
#9
Altuğ Duramaz, Emre Baca
PURPOSE: Ankle arthroscopy is a useful tool for detection and treatment of accompanying intraarticular pathologies in acute ankle fractures. The purpose of this study was to compare the treatment results of talus osteochondral lesions (OLT) with debridement and microfracture in arthroscopy assisted surgery of acute ankle fractures. METHODS: Eleven consecutive patients who were treated with arthroscopic acute debridement and 14 consecutive patients who were treated with arthroscopic acute microfracture in the treatment of ankle fracture were included in the study...
April 25, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29691042/foot-fractures-in-polytrauma-patients-injury-characteristics-and-timing-of-diagnosis
#10
Quirine M J van der Vliet, Robert C Lucas, George Velmahos, Roderick M Houwert, Luke P H Leenen, Falco Hietbrink, Marilyn Heng
BACKGROUND: Due to prioritizing care and concomitant injuries, foot fractures in polytrauma patients often receive limited attention initially. However, as foot function is important, treatment and diagnosis of these fractures should be accurate. The aims of this study were to assess the incidence and distribution of foot fractures in polytrauma patients and to examine possible risk factors for delayed diagnosis of foot fractures. METHODS: This was a retrospective study on all adult (≥18 years) polytrauma (ISS ≥16) patients admitted to a single level 1 trauma center between 2006 and 2016...
April 17, 2018: Injury
https://www.readbyqxmd.com/read/29681160/particulated-autograft-cartilage-implantation-for-the-treatment-of-osteochondral-lesions-of-the-talus-a-novel-technique
#11
Connor Delman, John Wuellner, Chris Kreulen, Gregg Lundeen, Eric Giza
Osteochondral lesions of the talus often occur following ankle sprains and fractures. Operative intervention is typically required because of the diminished intrinsic repair capability of talar articular cartilage. Several techniques have evolved that emphasize replacing the defect with cartilage that closely mimics the biological properties of hyaline articular cartilage. The goals of operative treatment are resolution of symptoms, physiologic healing, and restoration of function while eliminating the need for further intervention...
April 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29664882/operative-treatment-of-talar-head-fractures-surgical-technique
#12
Michael R Anderson, A Sam Flemister, John P Ketz
Talar head fractures represent a rare subtype of injury to the talus. Clinical series of talar head fractures are nonexistent in the current literature and treatment of these injuries is based on expert opinion. Many authors recommend a single incision approach to open reduction and internal fixation of talar head fractures, however we have found that a two incision approach allows for optimal visualization while facilitating proper implant placement. We present a description of our technique and our clinical experience treating 8 of these rare injuries...
April 3, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29657849/talar-process-fractures-an-overview-and-update-of-the-literature
#13
Haroon Majeed, Donald J McBride
Fractures of the lateral and the posterior processes of the talus are uncommon and frequently missed because of a low level of suspicion and difficulty in interpretation on plain radiographs. Missed fractures can lead to persistent pain and reduced function.Lateral process fractures are usually a consequence of forced dorsiflexion and inversion of fixed pronated foot. These are also commonly known as snowboarder's fractures.The posterior process of the talus is composed of medial and lateral tubercles, separated by the groove for the flexor hallucis longus tendon...
March 2018: EFORT open reviews
https://www.readbyqxmd.com/read/29643689/the-utility-of-tc-99m-hydroxymethylene-diphosphonate-single-photon-emission-computed-tomography-computed-tomography-in-symptomatic-os-trigonum
#14
Sharjeel Usmani, Noora Bin Essa, Fahad Marafi, Rashid Rasheed, Fareeda Al Kandari
Os trigonum is a congenital condition in which a bone ossicle fails to fuse to a secondary ossification center in the posterior aspect of the talar bone. Repetitive plantar flexion of the foot may elicit inflammation of the ossicles fibrous connective band, subsequently causing pain. It is common to misdiagnose os trigonum as an avulsion fracture. We report a case of a 23-year-old male with symptomatic os trigonum diagnosed on Tc-99m hydroxymethylene diphosphonate single-photon emission computed tomography-computed tomography (SPECT-CT)...
April 2018: Indian Journal of Nuclear Medicine: IJNM: the Official Journal of the Society of Nuclear Medicine, India
https://www.readbyqxmd.com/read/29629582/arthroscopically-assisted-fixation-of-hawkins-type-ii-talar-neck-fractures
#15
J Wagener, C Schweizer, L Zwicky, T Horn Lang, B Hintermann
Aims Arthroscopically controlled fracture reduction in combination with percutaneous screw fixation may be an alternative approach to open surgery to treat talar neck fractures. The purpose of this study was thus to present preliminary results on arthroscopically reduced talar neck fractures. Patients and Methods A total of seven consecutive patients (four women and three men, mean age 39 years (19 to 61)) underwent attempted surgical treatment of a closed Hawkins type II talar neck fracture using arthroscopically assisted reduction and percutaneous screw fixation...
April 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29600671/-clinical-observation-of-osteotomy-and-fusion-for-the-treatment-of-severe-rigid-equinus-deformity
#16
Ling-Long Deng, Li Yu, Xing Zhao, Chi Wei, Bing Wang, Shao-Bo Zhu
OBJECTIVE: To explore clinical efficacy of osteotomy and fusion in treating severe rigid equinus deformity. METHODS: From April 2010 to October 2015, 13 patients(16 feet) with severe rigid equinus deformity were treated with osteotomy and fusion by hollow screw, including 6 males and 7 females aged from 39 to 62 years old with an average of(49.6±5.3) years old;the courses of diseases ranged from 5 to 27 years with an average of (9.0±4.8) years. Six patients (9 feet) were treated with osteotomy and fusion for three joints, 4 patients(4 feet) were treated with osteotomy and fusion for four joints, and 3 patients (3 feet) were treated with osteotomy and fusion for tibiotalar and calcaneal-talar joints...
March 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29555896/talar-neck-fracture-with-dislocation-combined-with-bimalleolar-ankle-fracture-a-case-report
#17
Ahmad M Radaideh, Ziad A Audat, Abdullah A Saleh
BACKGROUND Fractures of the talus are uncommon injuries that usually involve the talar neck, rather than the talar body. This report is of a rare case of combined left talar neck fracture and adjacent joint dislocation with an ipsilateral bimalleolar ankle fracture. CASE REPORT A 37-year-old man presented with an injury to his left foot following a motor vehicle accident. When he presented to the hospital emergency department, his left foot and ankle were swollen, the overlying skin was intact but badly contused, and there was no neurovascular deficit...
March 20, 2018: American Journal of Case Reports
https://www.readbyqxmd.com/read/29550913/association-of-pre-treatment-radiographic-characteristics-of-calcaneal-fractures-on-patient-reported-outcomes
#18
Georgios Alexandridis, Amy C Gunning, Ger D J van Olden, Egbert-Jan M M Verleisdonk, Michiel J M Segers, Luke P H Leenen
PURPOSES: Calcaneal fractures are known to influence patients' quality of life negatively. The type of calcaneal fracture might have a relation with the patient outcome. To inform patients in an early stage on how their calcaneal fracture may affect their lives, knowledge of the fracture characteristics is necessary. This study evaluates the association of type of calcaneal fracture, measurement of conventional radiograph angles, and the Sanders classification with patient-reported outcomes...
March 17, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29548633/is-it-possible-to-overcompress-the-syndesmosis
#19
Piyush Mahapatra, Ben Rudge, Paul Whittingham-Jones
The case we present suggests that it might be possible to overcompress the syndesmosis, causing subluxation of the talus within the ankle mortise. A 26-year-old female patient had had a Weber Type C ankle fracture internally fixed with a lateral plate and syndesmosis screws. Despite the fibula appearing well reduced and computed tomography imaging showing a well-aligned fibula within the fibular notch, anteromedial subluxation of the talus was present in the ankle mortise. Examination with the patient under anesthesia revealed a stable syndesmosis fixation; however, talar malpositioning was not affected by the foot position...
March 13, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29520967/surgical-versus-non-surgical-management-of-type-b-ankle-fractures-with-minimal-talar-shift-in-adults-a-systematic-review
#20
REVIEW
Rajat Mittal, David Drynan, Ian A Harris, Justine M Naylor
BACKGROUND: This systematic review aims to determine the effectiveness of surgical and non-surgical management for the type B ankle fracture with minimal talar shift. METHODS: Two authors independently systematically searched the following databases: MEDLINE, EMBASE and CENTRAL. Only randomized controlled trials were included that evaluated surgical versus non-surgical management of type B ankle fracture with minimal talar shift in adults. Two authors independently performed study selection, risk of bias assessment and data extraction...
March 8, 2018: ANZ Journal of Surgery
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