Surgical treatment of talus fractures

Schulze, W; Richter, J.; Russe, O; Ingelfinger, Patrick; Muhr, G.

doi:10.1080/000164702320155374

Cited by 99 publications

(20 citation statements)

References 24 publications

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“…The mid-foot instability and hind-foot valgus are corrected as well. Although talonavicular joint arthrodesis has been useful in the treatment of acquired flat foot in the adult [14][15][16], arthritis and arthrosis of the talonavicular joint [16][17][18][19], residual deformities of club foot [20], and sequels of trauma or talus necrosis [21], there are no clinical reports about its use in the spastic flat foot in CP. We report our experience with this technique.…”

Section: Introductionmentioning

confidence: 99%

Talonavicular joint arthrodesis for the treatment of pes planus valgus in older children and adolescents with cerebral palsy

Turriago

Arbeláez

Becerra

2009

Journal of Children's Orthopaedics

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Purpose The purpose of this report is to review our experience with talonavicular joint arthrodesis for the treatment of severe valgus foot deformities in older children and adolescents with cerebral palsy (CP). Methods The clinical, radiographic, and gait parameters results after talonavicular joint arthrodesis were retrospectively reviewed in 32 patients (59 feet) with valgus deformities of the foot. The surgery was performed as part of multiple simultaneous surgeries for the treatment of gait disorders. The mean age of the patients was 13.9 years (range 9-20 years) and the mean follow-up was 40 months (range 18.3-66.7 months). Results The clinical and radiographic measurements improved significantly (P = 0.000). There were no significant changes in gait parameters. Symptoms were relieved in most patients with symptomatic preoperative feet. The most frequent complication was pseudoarthrosis, which occurred in seven feet. We found a high rate of satisfaction of patients (or parents) and most of them recommended the procedure to other patients with the same condition. Conclusion Talonavicular joint arthrodesis is a reliable technique that provides both functionally and cosmetically good results with a low rate of complications in the treatment of severe pes planus valgus in older children and adolescents with CP. Careful examination should rule out concomitant ankle valgus deformities. A stable fixation of the arthrodesis is recommended.

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Section: Introductionmentioning

confidence: 99%

Talonavicular joint arthrodesis for the treatment of pes planus valgus in older children and adolescents with cerebral palsy

Turriago

Arbeláez

Becerra

2009

Journal of Children's Orthopaedics

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“…The risk of avascular necrosis of the talar body is related to the type of fracture, with non-displaced talar body fractures being associated with a 5% to 44% risk, whereas displaced talar body fractures the risk is about 50% [16], which is further increase if the injury is open [21,22]. Post-traumatic arthrosis varies from 16 to 100% after talar body fractures [21,23]. Malunion can produce significant alteration in load across the ankle and subtalar joints and result in arthrosis [21].…”

Section: Discussionmentioning

confidence: 99%

“…There is no apparent correlation between talar body fracture classification and outcome, which maybe explained by the low incidence and variation of such injuries [14]. Approximately 80% patients will have good to excellent clinical results after early internal fixation [23]. The reported case, according to the aforementioned criteria, should have a good prognosis as it was closed and underwent immediate operative reduction with early signs of revascularisation.…”

Section: Discussionmentioning

confidence: 99%

The Edinburgh variant of a talar body fracture: a case report

Clement

Biant

2010

Journal of Orthopaedic Surgery and Research

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We describe a novel closed pantalar dislocation with an associated sagittal medial talar body and medial malleolus fractures. Closed reduction was attempted unsuccessfully. Open reduction was performed, revealing a disrupted talonavicular joint with instability of the calcaneocuboid joint. This configuration required stabilisation with an external fixator. There were no signs of avascular necrosis, or arthrosis at 15 months follow but is currently using a stick to mobilise.

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“…The revascularisation process can be achieved by stable surgical reduction and internal fixation [5,11,14]. Thus, the importance of surgical reconstruction in displaced fractures is not only to anatomically reduce the articular surfaces and restore the dimensions of the talar body, but also to ensure that the remaining precarious blood supply to the talus is not iatrogenically reduced further [1,11,17,18]. …”

Section: Introductionmentioning

confidence: 99%

“…To obtain a complete intraoperative overview allowing for anatomical reconstruction of the articular surfaces and the axial deviation bilateral approaches are usually necessary. Internal fixation is achieved with screws or mini-plates supplemented by temporary K-wire transfixation in cases of marked additional ligamentous instability [18,19]. …”

Section: Introductionmentioning

confidence: 99%

The treatment of talar body fractures with compression screws: a case series

Kilic

Kabukçuoğlu

Sökücü

2009

Cases J

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Fractures of talar body are rare and serious injuries and frequently seen in multiply injured and polytraumatised patients. The high variability of talar fractures, their relatively low incidence together with the high percentage of concomitant injuries makes treatment of these injuries a challenge to the surgeon.We treated three patients with talus body fracture and multiple articular fractures of the distal tibia. The patients were male, aged 36, 34 and 40 years. All cases were treated by open reduction and internal fixation. All the fractures were united during an average follow-up of 13 months and there were neither non-union nor collapses due to avascular necrosis.

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Surgical treatment of talus fractures

Cited by 99 publications

References 24 publications

Talonavicular joint arthrodesis for the treatment of pes planus valgus in older children and adolescents with cerebral palsy

Talonavicular joint arthrodesis for the treatment of pes planus valgus in older children and adolescents with cerebral palsy

The Edinburgh variant of a talar body fracture: a case report

The treatment of talar body fractures with compression screws: a case series

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