Surgical Reconstruction of a Crush Injury of the Talar Body

Daghino, Walter; Gregorio, Giuseppe Di; Cerlon, Raul

doi:10.2106/jbjs.j.01358

Cited by 7 publications

(3 citation statements)

References 18 publications

(20 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Crushed fractures -are caused by the high loading force 13 .This kind of fractures are very difficult for treatment. They can be fixed, with previous distraction 5,30 . Due to the posttraumatic arthrotic changes in a lot of the cases subtalar or pantalar arthrodesis may be required.…”

Section: Disturbance Of Healingmentioning

confidence: 99%

Talar injuries: The orthopedic challenge

2012

View full text Add to dashboard Cite

Injuries of the talus represents an important part of the foot and ankle trauma. Since talar bone connect the lower limb and foot, the sequelas of its trauma could have significant influence on the function of the whole lower limb and gait. The specific vascularization of the talus results in delayed union and even in the avascular necrosis. The diagnosis of the fractures of the talus can be made on the x-rays, but sometimes real picture of the fracture pattern can be seen only in the CT scans. Ocult fractures such as osteochondral fractures and avascular necrosis can be exactly detected on MRI in aim not to be overlookded as the ankle sprain diagnosis. The precise reduction and stable internal fixation is mandatory in the treatment to enable the anatomical position of the talonavicular, talocrural and subtalar joint and to make possible early motion and rehabilitation, without weight bearing. On the other hand, crushed fractures, open fractures and the Hawkins III-IV fractures with the dislocations of the talar body sometimes needs salvage procedures like Blair or tibio-talar or tibio-calcaneal fusion.

show abstract

Section: Disturbance Of Healingmentioning

confidence: 99%

Talar injuries: The orthopedic challenge

2012

View full text Add to dashboard Cite

show abstract

“…14 , 18 , 30 , 33 Some authors recommend performing astragalectomy with simultaneous TCA for severe fractures and fracture-dislocations of the talus. 6 , 8 , 9 , 38 In case of osteomyelitic lesion of the talus, a necessary condition for the elimination of the purulent process is not only astragalectomy and thorough debridement but also the creation of a TCA. For stabilization in place of arthrodesis and elimination of the shortening that it leads to, the external fixation devices and various methods of both free and nonfree bone grafting according to Ilizarov are used.…”

Section: Introductionmentioning

confidence: 99%

New Method of Tibio-calcaneal-Navicular Arthrodesis After Talectomy

Alizade¹,

Aliyev²,

Alizada³

2023

Foot & Ankle Orthopaedics

View full text Add to dashboard Cite

Background: After astragalectomy, patients still have a shortening of the limb, which can require various reconstructive manipulations. We have developed a simple and versatile tibio-calcaneal-navicular arthrodesis (TCNA) technique to reduce limb shortening. Methods: The main difference from the standard method of arthrodesis between the tibia and calcaneus is that in our method after astragalectomy, the tibia rests with the anterior edge against the os navicularis, and the posterior edge against the calcaneus. We have observed 14 patients (2 were female, 12 were male) operated by a new method of tibio-calcaneal-navicular arthrodesis (TCNA) from 2003 to 2020 years with various forms of osteomyelitis, fractures, and septic necrosis of the talus. The average age of the patients was 42.2 (ranged 20-75) years. Observation results will be assessed using the American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot score 1-1.5 years after surgery and treatment time in the Ilizarov apparatus. Results: In all patients, the wounds healed by primary intention. The average time of immobilization in the apparatus was 4.9 (ranged 3.5-6) months. The average limb shortening 2.0 ± 0.5 cm. AOFAS ankle-hindfoot score (n = 14) in all patients came up to 77.9 ± 6.8 (min 68, max 86) SD 12.8. Nonunion was noted in the region of the anterior edge of the tibia in 1 patient (7.1%), and in another patient a painless nonunion was formed (7.1%). Patients wore ordinary footwear without arch supporter and with heels up to 2 cm. Conclusion: Good and satisfactory results were obtained in all patients. The new TCNA method allows restoring the supporting ability of a limb, reduces shortening, and improves the quality of life for patients. Level of Evidence: Level IV, case series, low-quality cohort or case- control studies.

show abstract

“…[18,19,20,21]. Some authors recommend performing astragalectomy with simultaneous TCA for severe fractures and fracture-dislocations of the talus [22,23,24,25]. In case of osteomyelitic lesion of the talus, a necessary condition for the elimination of the purulent process is not only astragalectomy and thorough debridement, but also the creation of a TCA.…”

Section: Introductionmentioning

confidence: 99%

New method of tibio-calcaneal-navicular arthrodesis after talectomy.

Alizade

Aliyev

Alizada³

2022

Preprint

View full text Add to dashboard Cite

Purpose To develop and investigate the results of a new, simple and versatile method of tibia- calcaneal arthrodesis that reduces limb shortening. Materials and methods This prospective study was conducted in patients who voluntarily agreed to a new operation. Informed consent was obtained from all individual participants included in the study. For 17 years, we have observed 14 patients with various forms of osteomyelitis, fractures and septic necrosis of the talus, who underwent a new method of tibio-calcaneal-navicular arthrodesis (TCNA). The age of the patients ranged from 23 to 75 years, (42 years on average). 2 patients were female, 12 were male. The Ilizarov apparatus was used as a fixator. The average time of immobilization in the apparatus was 4.9 months (from 3.5 to 6 months). The operations were performed by one surgeon. Results In all patients the wounds healed by primary intention. The average limb shortening 1.9 ± 0.5 cm. AOFAS Ankle-Hindfoot score (n=14) in all patients came up to 77,9 ± 6,8 (min 68, max 86) SD 12,8. Patients wore ordinary footwear without arch supporter and heels till 2cm. Only two female patients over 70 years used a stick. 2 patients had minor pain during prolonged walking. Conclusion Excellent and good results were obtained in all patients. The new TCNA method allows restoring the support ability of a limb, reduces shortening and improves the quality of life for patients.

show abstract

Surgical Reconstruction of a Crush Injury of the Talar Body

Cited by 7 publications

References 18 publications

Talar injuries: The orthopedic challenge

Talar injuries: The orthopedic challenge

New Method of Tibio-calcaneal-Navicular Arthrodesis After Talectomy

New method of tibio-calcaneal-navicular arthrodesis after talectomy.

Contact Info

Product

Resources

About