Initial assessment of treatment of talar posterior process fractures with open reduction and percutaneous fixation

Mao, Haijiao; Wang, Haiqing; Zhao, Jiyuan; Wang, Linger; Yao, Liwei; Wei, Ke

doi:10.1038/s41598-020-77151-6

Cited by 3 publications

(3 citation statements)

References 28 publications

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“…Cedell [4] described the avulsion fracture of the posteromedial tubercule during forced pronation and dorsiflexion of the foot. The rarer mechanism is the direct trauma of the posteromedial facet by the impingement of the sustentaculum during supination and forced dorsiflexion with injuries caused by high intensity forces [5].…”

Section: Mechanism Of Injurymentioning

confidence: 99%

Arthroscopically assisted resection of overlooked fracture of posterior talar procesus

et al. 2021

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Introduction. The fractures of the posterior process of talus are relatively rare injuries of the ankle. They most frequently occur via the mechanism of the forced hyper plantar flexion and inversion. Sometimes they are not initially diagnosed, since over 40% of cases of the fractures of the posterior process of talus are not seen in the initial radiography. The objective of this work is the review of the case study of the arthroscopically treated unhealed fracture of the posterior process of talus. Case outline. In our case report we have presented the 30-year-old male, professional soccer player, with a three-month-long history of chronic pain in the region of the left ankle and heel and the fracture of the posterior process of talus. Conclusion. The work shows all the advantages of minimally invasive surgery - arthroscopic excision of the fragment, quick recovery and returning to physical activities.

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Section: Mechanism Of Injurymentioning

confidence: 99%

Arthroscopically assisted resection of overlooked fracture of posterior talar procesus

et al. 2021

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“…The talus is a critical link between the leg and the foot, playing an important role in normal ambulation [ 1 ]. The posterior process of the talus (PPOT) is a bony process at the posterior part of the talus body, consisting of the lateral and medial tubercles, which are separated by a groove for the flexor hallucis longus tendon situated in between the two tubercles [ 2 , 3 ]. The lateral tubercle is the larger of the two projects and attached to the posterior talofibular ligament and the posterior talofibular ligament [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Anatomical observation, classification, fracture and finite element analysis of the posterior process of the Asian adult talus

et al. 2022

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Background Fractures of the posterior process of the talus are rarely seen and frequently overlooked. In our study, anatomical observation and classification of the posterior process of the talus were carried out, and related imaging and finite element methods were combined. The study aimed to observe and provide anatomical data related to posterior process of talus in Asian adults and explore the potential relationships between the different types with fracture of posterior process of talus. Methods Combined with the anatomical morphology and imaging data, the posterior process of talus was divided into four types, and the incidence and fracture situation were statistically analyzed. The finite element models of four different types of talus processes were established and verified, and the stress and strain were simulated and analyzed. Results The total incidence of the posterior process of the talus was 97.47%. The proportions of the four types were neck-like 10.13%, flat 36.29%, pointy 12.66% and round blunt 38.39%. The overall incidence of bone cracks of the posterior process of the talus was 4.98%; the most common type was neck-like type. Compared with the value on the other types, the maximum von Mises stress increased by 67.66%, 83.90% and 111.18% on the neck-like posterior process of talus respectively. Conclusions It is speculated that different types of the posterior process of the talus may be related to the probability of fracture, and it may be better to consider different treatment strategies for different types of fractures.

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“…Weight bearing per unit area of talus is very high and it has complex anatomical relation with other structure. So accurate reduction is essential to maintain articular surface integrity [4] . Various literature review revealed that there is variability in the outcome of treatment of talus fracture.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of open reduction and internal fixation in closed fracture of talus: Seven -year observational study

R¹,

Raja²

2021

Int. J. Orthop. Sci.

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Background: But because of the unique anatomical shapes and the vascular anatomy of the talus bone fracture of it is most challenging injury to manages. Despite the development in the field of diagnostics and improvement is surgical procedure, the complication is still frequent. As there is variability in the outcome of management of talus present study has been done to evaluate the outcome of open reduction and internal fixation in closed fracture of talus in our clinical scenario. Method: Patients with fracture of talus admitted in the department of orthopaedics and trauma are enrolled for this study based on inclusion and inclusion criteria. Patient were evaluated both radiologically in anteroposterior, lateral, and mortise radiographs at two weeks, six weeks, twelve weeks, and six months postoperatively and clinically as well. All patients were followed upto two year and clinical evaluation done by AOFAS is a clinician-reporting tool. Result: Among patients with type 2 fracture of neck of talus one has developed post-operative wound infection, one has developed post traumatic arthritis and two developed avascular necrosis. Among patients with type 3 fracture of neck of talus, two have developed post traumatic arthritis and two developed avascular necrosis. Among patients with type 4 fracture of neck of talus one has developed post-operative wound infection, and two developed avascular necrosis. Discussion and Conclusion: From present study we can conclude that fracture of talus is uncommon with male predominance. Fracture of neck of talus is more common than body. Anteromedial and anterolateral approach was commonly used in surgical treatment. Avascular necrosis was common in type 4 fracture of neck of talus and post traumatic arthritis was found in type 3 fracture. As per ankle hindfoot scale clinical outcome fair and good outcome was equally found and 25% patient have poor outcome.

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Initial assessment of treatment of talar posterior process fractures with open reduction and percutaneous fixation

Cited by 3 publications

References 28 publications

Arthroscopically assisted resection of overlooked fracture of posterior talar procesus

Arthroscopically assisted resection of overlooked fracture of posterior talar procesus

Anatomical observation, classification, fracture and finite element analysis of the posterior process of the Asian adult talus

Evaluation of open reduction and internal fixation in closed fracture of talus: Seven -year observational study

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