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Talus fractures

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https://www.readbyqxmd.com/read/29703458/operatively-treated-talus-fractures-complications-and-survivorship-in-a-large-patient-sample
#1
Michael A Stone, Russell R Flato, William Pannell, Jeremiah R Cohen, Jeffrey C Wang, Geoffrey S Marecek
Talus fractures are relatively uncommon; however, the sequelae of talus fractures can cause significant morbidity. Although avascular necrosis has been a consistently reported complication, the reported rates of subsequent arthrodesis have varied widely. The purpose of the present study was to report the complications in a large patient sample of operatively treated talus fractures and to describe the survivorship of open reduction internal fixation (ORIF) of the talus. Patients undergoing talus ORIF for closed or open fractures from 2007 to 2011 were identified in the United Healthcare System database by International Classification of Diseases, 9th revision, code 825...
April 24, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
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
#2
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/29681160/particulated-autograft-cartilage-implantation-for-the-treatment-of-osteochondral-lesions-of-the-talus-a-novel-technique
#3
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/29669542/the-application-of-intraoperative-ankle-dislocation-approach-in-the-treatment-of-the-unstable-trimalleolar-fractures-involving-posterior-ankle-comminuted-fracture-a-retrospective-cohort-study
#4
Wenzhao Xing, Peng Xie, Linjie Wang, Changcheng Liu, Jian Cui, Zhiguo Zhang, Liang Sun
BACKGROUND: The aim of this study was to introduce a novel intraoperative lateral ankle dislocation approach during surgical treatment for patients with unstable trimalleolar fractures involving posterior ankle comminuted fractures and compare its effects and safety with those with conventional approach. METHODS: From June 2006 to June 2014, 69 patients diagnosed as unstable trimalleolar fractures involving posterior ankle comminuted fracture were included in this study...
April 18, 2018: BMC Surgery
https://www.readbyqxmd.com/read/29664882/operative-treatment-of-talar-head-fractures-surgical-technique
#5
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
#6
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/29643135/arthroscopic-reduction-and-fixation-of-a-lateral-inverted-osteochondral-fracture-of-the-talus-lift
#7
Joao Teixeira, Manuel Carvalho, António Torres, Nuno Tavares
Some ankle sprains hide important lesions beyond the classic lateral ligament complex injuries. The lateral inverted osteochondral fracture of the talus (LIFT) represents a rare osteochondral lesion, whose diagnosis relies on a high clinical suspicion followed by correct image study interpretation. We present a successful arthroscopic fixation of a LIFT lesion in a 45-year-old active man. At 8 months follow-up, the patient was pain free and able to return to his daily activities without limitation. The imagiological study showed osteochondral fragment consolidation with no signs of hardware failure...
April 11, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29628811/isolated-stieda-process-fracture-of-talus-a-case-study
#8
William L Moore, Beverly L Harger
Objective: The purpose of this case report is to describe a patient with a fracture of the Stieda process. Clinical Features: A 39-year-old woman presented with pain and swelling of her left ankle immediately following a boogie boarding accident a few days earlier. Her clinical presentation was similar to that of an ankle sprain. Intervention and Outcome: Radiographs were ordered, and a fracture of a normal variant, the Stieda process, was identified...
March 2018: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/29600681/-imaging-findings-of-bone-infarction-in-children-with-systemic-lupus-erythematosus
#9
Yu Zhang, Xiao-Min Duan, Hai-Bing Mei
OBJECTIVE: To investigate diagnostic value of MRI, X ray and CT for bone infarction in children with systemic lupus erythematosus. METHODS: Eleven systemic lupus erythematosus children with bone infarction were retrospectively analyzed from January 2015 to January 2017 , and tested by MRI, X-ray and CT. Among them, including 1 male and 10 females aged from 6 to 16 years old with an average of 13 years old. All patients were detected by MRI, 9 patients were detected by X-ray and 3 patients were detected by CT, imaging findings were analyzed...
March 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29577747/fractures-of-the-lateral-process-of-the-talus-with-associated-ankle-instability-a-report-of-2-cases
#10
Maire-Clare Killen, Prasad Karpe, Rajiv Limaye
Fractures of the lateral process of the talus are uncommon, but often overlooked. They can result in significant functional deficit with residual nonunion and arthritis if not recognized and treated appropriately. We describe 2 cases of such injuries, one with acute recognition and management, and one with delayed diagnosis and nonunion. In both cases, pain from the fracture was accompanied by symptoms of instability requiring simultaneous lateral ligament reconstruction along with fracture fixation. Evaluation of patients with lateral process fractures should include assessment of the lateral ligaments; ankle instability may need to be surgically addressed along with intervention for fracture fixation...
March 1, 2018: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/29555896/talar-neck-fracture-with-dislocation-combined-with-bimalleolar-ankle-fracture-a-case-report
#11
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/29548633/is-it-possible-to-overcompress-the-syndesmosis
#12
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/29528723/intraoperative-findings-of-lateral-ligament-avulsion-fractures-and-outcome-after-refixation-to-the-fibula
#13
Jasmin Diallo, Joe Wagener, Christine Schweizer, Tamara Horn Lang, Roxa Ruiz, Beat Hintermann
BACKGROUND: An acute ankle sprain can result in a bony avulsion of the lateral ankle ligaments. The extent of concomitant lesions and subsequent instability patterns are not clearly understood. The high incidence of old avulsion fractures found in symptomatic chronic ankle instability may indicate the need for primary fixation. METHODS: Ten patients (5 male, 5 female; mean age, 34 years; range, 15-64 years) with bony avulsion fractures of the fibula after acute ankle sprains were included...
March 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29506948/is-the-midterm-progress-of-pediatric-and-adolescent-talus-fractures-stratified-by-age
#14
Christiane Kruppa, Tyler Snoap, Debra L Sietsema, Thomas A Schildhauer, Marcel Dudda, Clifford B Jones
The outcomes of pediatric talus fractures have been minimally reported in published studies. The purpose of the present retrospective study was to determine the clinical and radiographic outcomes after talus fractures in pediatric and adolescent patients and to define the differences among the different age groups in this population. A total of 52 children and adolescents (54 fractures) with 24 type 1 (44.44%), 13 type 2 (24.07%), 8 type 3 (14.81%), and 9 type 4 (16.67%) Marti-Weber fractures were considered...
May 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29493504/-talus-fracture-in-a-young-woman-with-a-dislocated-ankle
#15
Mathilde Baumann, Claus Munk Jensen, Niels Andresen
Talus fractures are rare but often associated with complications and significant post-traumatic patient morbidity. They frequently occur at high-energy traumas such as traffic accidents. This is a case report of a young woman who after a fall from a roof, presented in an emergency department with a dislocated ankle which was initially misdiagnosed as a bimalleolar fracture and attempted repositioned as such before X-ray. Dislocated talus fractures, however, need urgent anatomic reduction after diagnostic imaging and often subsequent and acute osteosynthesis...
February 19, 2018: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/29482787/management-of-talar-fractures
#16
REVIEW
Kwasi Y Kwaadu
Fractures of the talus are significant injuries with associated significant complications where the recovery zenith is less frequently good to excellent, and more commonly fair to satisfactory. These outcomes are a consequence of combinations of the inherent intrinsic and surrounding anatomy, technical and logistic difficulties in adequate fracture access, and the high-energy mechanisms typically associated with these injuries that further traumatize the surrounding tissues. This article reviews and provides current management recommendations for these devastating injuries...
April 2018: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/29456078/transmalleolar-approach-for-arthroscopy-assisted-headless-screw-fixation-of-an-osteochondral-talar-dome-fracture
#17
Ebrahim Izadi, Rahij Anwar, Sarah Phillips, Venu Kavarthapu
Displaced osteochondral fractures of the body of talus quite often require a malleolar osteotomy to gain access to the fracture fragment during internal fixation. We describe a case report in which access to a displaced osteochondral fracture of the lateral talar dome was achieved using an arthroscopy-assisted fibular tunnel approach. This technique resulted in satisfactory fracture healing and a satisfactory clinical outcome.
May 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29456077/talus-fracture-of-the-medial-tubercle-of-the-posterior-process-interposition-of-the-flexor-hallucis-longus-tendon
#18
Jin Park, Jin Ho Che
Talus fracture of the medial tubercle of the posterior process is rare. This type of fracture can be easily missed, because it is difficult to identify on plain radiographs of the ankle. Oblique radiographs with external rotation, computed tomography, and magnetic resonance imaging (MRI) of the ankle are useful for making an accurate diagnosis. However, even with an early diagnosis, the treatment guidelines for talus fractures of the posterior medial tubercle have not yet been established. The flexor hallucis longus (FHL) tendon, which passes through the groove between the medial and lateral tubercles of the posterior process of the talus, can interpose between the fracture sites and interrupt fracture reduction...
May 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29436477/combat-related-foot-injuries-impact-on-gait-and-functional-outcome
#19
Loes G M de Kruijff, M Prins, A van der Krans, R Hoencamp, P van der Wurff
INTRODUCTION: Prior to deployment of the Netherlands Army Task Force Urozgan in Afghanistan, the Dutch Military and civilian healthcare systems had limited experience in treating blast injuries and their long-term consequences. This meant that guidelines for treatment and rehabilitation were lacking. The aim of this cohort study was to quantify kinematic and kinetic abnormalities in service members with foot injuries in relation to functional outcome using gait analysis. METHOD: In nine service members with combat-related talus, calcaneus and/or navicular bone (TCN) fractures and nine controls, gait parameters were measured using Gait Real-Time Analysis Interactive Lab system...
February 7, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29409210/fractures-of-the-talus-current-concepts-and-new-developments
#20
REVIEW
John A Buza, Philipp Leucht
Fractures of the talus are challenging to manage, with historically poor outcomes and a high rate of complications. The rare nature of this injury limits the number of studies available to guide treatment. Fortunately, a number of advancements have been made in the last decade. There is increased recognition regarding the importance of anatomic reconstruction of the osseous injury. Advanced imaging is used to assess the subtalar joint, where even slight displacement may predispose to arthritis. Increasing use of dual anteromedial and anterolateral approaches, along with plate fixation, has improved our ability to accurately restore the anatomy of the talus...
April 24, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
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