A Two-Portal Posterior Endoscopic Approach in the Treatment of a Complex Talus Fracture

Öğüt, Tahir; Seyahi, Aksel; Aydıngöz, Önder; Bilsel, Nafiz

doi:10.7547/0990443

Cited by 15 publications

(21 citation statements)

References 25 publications

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“…Owing to the capability of the visualization of the hindfoot structures using a safe and minimally invasive technique, the hindfoot endoscopic approach has recently begun to be used for the treatment and diagnosis of other hindfoot pathologies including osteochondral lesions of the talus, talocalcaneal coalition, retrocalcaneal bursitis, synovial osteochondromatosis, pigmented villonodular synovitis, and talar fractures [ 17 ]. To our knowledge, there have only been three reports of talus body fractures treated by the hindfoot endoscopic technique [ 1 , 24 ]. Ogut et al [ 24 ] first described hindfoot endoscopic surgery for a case of a complex talus fracture involving the posterior part of the talar body and the posterior process.…”

Section: Discussionmentioning

confidence: 99%

Talar Body Fracture Treated by Hindfoot Endoscopic Reduction and Internal Fixation

Shimmyo

Morimoto

Tachibana

et al. 2022

Case Reports in Orthopedics

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Background. A talar body fracture is relatively rare. Surgical treatment for the fracture is generally indicated for the displaced fracture types and traditionally performed via open approaches. However, open approaches may not be able to achieve adequate exposure of the talus body owing to the difficulty in achieving reduction and fixation of the fracture. In this case report, we describe a case of talar body fracture treated by hindfoot endoscopic reduction and internal fixation. Case report. A 39-year-old man who was a carpenter complained of right hindfoot pain after he fell from a stepladder during work. Although plain radiographs of the right ankle showed no abnormal findings, noncontrast computed tomography demonstrated a fracture line from the lateral side of the posterior lateral process to the medial side of the talus body. In addition, the fracture line extended to the posterior ankle and subtalar joints, and the bone fragment was slightly displaced. We diagnosed him with the talar body fracture and performed operative treatments using hindfoot endoscopic reduction and internal fixation. At 14 weeks after the operation, he was able to return to work at the preinjury activity level without dysfunction of the ankle nor complications. Conclusion. We reported a case of talar body fracture treated by hindfoot endoscopic reduction and internal fixation. In this case, the hindfoot endoscopic technique provided visualization of the fracture site with less invasiveness and increased safety, which enabled proper reduction and internal fixation of the fracture site. Therefore, the patient was able to return to work at the preinjury activity level at 14 weeks after surgery without dysfunction of the ankle nor complications. This surgical technique may be a useful option for the talar body fracture.

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Section: Discussionmentioning

confidence: 99%

Talar Body Fracture Treated by Hindfoot Endoscopic Reduction and Internal Fixation

Shimmyo

Morimoto

Tachibana

et al. 2022

Case Reports in Orthopedics

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“…Arthroscopy-assisted surgery permits removal of free-floating, intra-articular osteochondral fragments, direct visual assessment of fracture reduction and fixation stability as in the open technique, while causing minimal disruption to the remaining intact talar blood supply. 56 …”

Section: Surgical Techniquementioning

confidence: 99%

Treatment of hindfoot and ankle pathologies with posterior arthroscopic techniques

Öğüt

Yontar

2017

EFORT Open Reviews

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The two-portal hindfoot arthroscopy is an effective procedure enabling direct visualisation of posterior ankle pathology with low invasiveness.An important stage of the hindfoot endoscopy is localisation of the flexor hallucis longus (FHL) tendon to protect the neurovascular bundle which is located just medial to it.Posterior ankle impingement syndrome and FHL tenosynovitis are common causes of posterior ankle pain and frequently occur together.Posteriorly localised talar osteochondral lesions, Achilles tendon disorders, osteoarthritis, talar bone cysts and talar fractures are among the other pathologies that can be treated with hindfoot arthroscopy.Cite this article: EFORT Open Rev 2017;2. DOI: 10.1302/2058-5241.2.160055. Originally published online at www.efortopenreviews.org

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“…Although most talus fracture are managed with an open surgical approach, there are reports of arthroscopic management of talus fractures. [6][7][8][9] An arthroscopic approach can provide better visualization of the articular surface while preserving the soft tissue envelope and help prevent complications associated with an open approach such as wound infections and dehiscence. 9 The authors present a case of a 29-yearold man who sustained a twisting injury to his right ankle while playing soccer.…”

Section: Levels Of Evidence: Level V: Case Reportmentioning

confidence: 99%

Arthroscopic Reduction and Internal Fixation (ARIF) of a Comminuted Posterior Talar Body Fracture: Surgical Technique and Case Report

Kadakia

Konopka

Rodik

et al. 2017

Foot & Ankle Specialist

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A Two-Portal Posterior Endoscopic Approach in the Treatment of a Complex Talus Fracture

Cited by 15 publications

References 25 publications

Talar Body Fracture Treated by Hindfoot Endoscopic Reduction and Internal Fixation

Talar Body Fracture Treated by Hindfoot Endoscopic Reduction and Internal Fixation

Treatment of hindfoot and ankle pathologies with posterior arthroscopic techniques

Arthroscopic Reduction and Internal Fixation (ARIF) of a Comminuted Posterior Talar Body Fracture: Surgical Technique and Case Report

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