Adolescent talus body fracture with high displacement

Hama, Shunpei; Onishi, Ryu; Yasuda, Mitsutaka; Minato, Kenta; Miyashita, Masahiro

doi:10.1097/md.0000000000012043

Cited by 5 publications

(8 citation statements)

References 13 publications

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“…A total of 19 articles of the 176 articles obtained during the initial search met final inclusion criteria for this systematic review ( 4 , 5 , 8 , 9 , 12 - 26 ). There was a 100% agreement between articles included for review without the need for any article to be elevated for tertiary review.…”

Section: Resultsmentioning

confidence: 99%

“…Due to the nature and impact of pediatric ankle fractures on long-term patient outcomes, including posttraumatic arthritis and alterations to activity level which may impact developmental psychology, these fractures currently pose a significant challenge to orthopedic surgeons and patients alike ( 1 , 3 ). Adding to the complexity of the management of pediatric ankle fractures for orthopedic surgeons, there are several surgical options that exist for anatomical reduction and fixation, including both open and arthroscopic approaches ( 1 - 5 ). Recently, there has been increasing interest in the use of arthroscopic surgery for the management of pediatric ankle fractures ( 4 , 6 - 9 ).…”

Section: Introductionmentioning

confidence: 99%

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Arthroscopic management of pediatric ankle fractures: a systematic review

Walley,

Baumann,

Curtis

et al. 2024

Ann Joint

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Background Arthroscopic-assisted treatment of ankle fractures has proven useful in the adult population, but little evidence exists for the utilization of arthroscopic-assisted ankle fracture fixation in the pediatric population. The purpose of this systematic review is to examine the management of pediatric ankle fractures using arthroscopy. Methods A systematic review was performed using PubMed, Web of Science, CINAHL, and MEDLINE from database inception to February 22 nd , 2023. Inclusion criteria for this systematic review was pediatric population less than age 18, arthroscopic surgery management, and ankle fracture. Results A total of 19 articles (n=30 patients) out of 176 articles met final inclusion criteria with all articles consisting of case reports or case series. The average patient age was 13.8±1.6 years. Sixteen of the patients (53%) had arthroscopic surgery along with an adjunct surgery as indicated, whereas 14 patients (47%) had arthroscopic surgery with or without percutaneous fixation. A high majority of patients demonstrated full range-of-motion and large improvements in function. Conclusions Arthroscopy is used with percutaneous fixation or in adjunct to open approaches for pediatric ankle fracture management with good results. More research is needed to determine the utility of arthroscopy in the management of pediatric ankle fractures.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Arthroscopic management of pediatric ankle fractures: a systematic review

Walley,

Baumann,

Curtis

et al. 2024

Ann Joint

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“…The results of the search strategy and study selection criteria are shown in Figure 1. A total of 12 studies were included in this systematic review [11][12][13][14][15][16][17][18][19][20][21][22].…”

Section: Resultsmentioning

confidence: 99%

“…The average follow-up period varied from 12 to 36 months. Ten studies included Sneppen Type II fractures [11,13,14,[16][17][18][19][20][21][22] and two studies included Sneppen type III [12,15]. Eleven studies included Hawkin's type II fractures 2.…”

Section: Population Characteristicsmentioning

confidence: 99%

Arthroscopic reduction and internal fixation (ARIF) for talar body fractures: systematic review

Cellier

Sleth²,

Bauzou

et al. 2023

SICOT-J

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Purpose: This study aimed to systematically assess the available literature on the technique and results of arthroscopic reduction – internal fixation for displaced fractures of the talar body. Methods: A systematic review was made of the available literature on MEDLINE, EMBASE, and the Cochrane Library database, including studies from January 1985 to July 2021. The literature search, data extraction, and quality assessment were conducted by two independent reviewers. Surgical technique, perioperative management, clinical outcome scores, radiographic outcomes, and complication rates were evaluated. Results: Out of 37 articles reviewed, 12 studies met the inclusion criteria. The studies included reported on the results of 22 patients. No complications were observed in any of the patients treated. Conclusions: The included studies had too many weaknesses to allow the pooling of data or meta-analysis. However, percutaneous arthroscopic talar internal fixation appears to be a good option for uncomplicated displaced intra-articular talar fractures. Appropriately powered randomized controlled trials with long-term follow-ups are required to confirm the effectiveness of this technique. Level of Evidence: Level IV, a systematic review of Level IV studies.

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“…Talar fracture accounts for 2% of all lower extremities fracture and up to 5% of foot and ankle fracture [4]. Up to 60% of talus surface is covered with articular cartilage, which means that most of the talar body receives its blood supply from the vascular anastomosis around its neck [5,6]. In the last few years, there were many reported cases of rare talar fractures.…”

Section: Discussionmentioning

confidence: 99%

Talus, anteromedial subtalar articular surface fracture dislocation. Case report and review of literature

Aljawadi¹,

Pillai²,

Jahangir³

et al. 2019

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Introduction: Talus fractures are uncommon and accounted for 2% of all lower limbs' fractures. Due to its unique anatomical and biomechanical structure, talus plays an important role in ankle biomechanics. Talar fracture and/or dislocation can be associated with significant disability. Case Presentation: A case report to describe the presentation, management, and outcomes of 25 years old patient who presented with talar dislocation and associated rare fracture of infero-medial talar articular surface in anterior subtalar joint. Treatment and outcomes: open reduction and internal fixation with three cannulated screws was performed. At 10 weeks follow-up, there was enough clinical and radiological evidence to suggest fracture healing. Patient allowed to weight bear using walker boot. Discussion: we presented a rare case of talus fracture dislocation which was treated surgically with open reduction and internal fixation with satisfactory outcomes at 10 weeks of follow up.

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Adolescent talus body fracture with high displacement

Abstract: ARIF with external fixation might be the treatment of choice for such a case.

Cited by 5 publications

References 13 publications

Arthroscopic management of pediatric ankle fractures: a systematic review

Arthroscopic management of pediatric ankle fractures: a systematic review

Arthroscopic reduction and internal fixation (ARIF) for talar body fractures: systematic review

Talus, anteromedial subtalar articular surface fracture dislocation. Case report and review of literature

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