Talonavicular Joint Approach to the Talar Body: A Cadaver Study

Köse, Kamil Çağrı; Cebesoy, Oğuz; Erğan, Volkan; Maralcan, Gökhan; Altınel, Levent; Songür, Ahmet; Kuru, İlhami

doi:10.3113/fai.2008.0601

Cited by 2 publications

(3 citation statements)

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“…Their study showed that the lesion of all regions of the talar body could be reached through a minimally invasive talonavicular approach by creating a small hole in the neck of the talus without the need for an osteotomy. 12 We did not use the talonavicular joint approach for any patients of the present series because reaching the lesion is more difficult with this approach, and it may also weaken the talus neck.…”

Section: Discussionmentioning

confidence: 99%

“…Various approaches, such as talonavicular joint and medial malleolar osteotomy, have been proposed for this purpose. 12,21 However, owing to its rarity, there is no clear consensus regarding the optimal surgical approach for these lesions and the outcomes of treatment as well. In this study, we aimed to evaluate the functional outcomes and surgical complications following the treatment of the idiopathic talus IGC with curettage and bone grafting through a medial malleolus osteotomy.…”

Section: Introductionmentioning

confidence: 99%

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Intraosseous Ganglion Cyst of the Talus Treated With Curettage and Bone Grafting Through a Medial Malleolus Osteotomy

et al. 2022

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Background: Intraosseous ganglion cyst (IGC) of the talus is a rare entity. There is no consensus regarding the best surgical approach to the talus. In this study, we evaluated the outcomes of curettage and bone grafting of the talus IGC via medial malleolus osteotomy. Methods: Seventeen patients with talus IGC who were treated between 2002 and 2020 using curettage and bone grafting through a medial malleolus osteotomy were included. The outcome measures were ankle range of motion (ROM), pain, and function. The ankle pain was evaluated by the visual analog scale (VAS). The ankle function was evaluated by the Toronto extremity salvage score (TESS) and Musculoskeletal Tumor Society (MSTS) score. Results: The study population included 10 men and 7 women with a mean age of 34.9 ± 18.8 years and a mean follow-up of 5.4 ± 3 years. The mean size of the lesion was 2.6 ± 0.8 cm. Postoperatively, mean ankle dorsiflexion and plantar flexion were 19.4 ± 5.8 degrees and 36.7 ± 5.3 degrees, respectively. The mean VAS was 0.9 ± 1.1. The mean MSTS score and TESS were 96.2 ± 3.5 and 94.5 ± 4.1, respectively. Two patients developed ankle osteoarthritis after 3 years (1 stage I and 1 stage II). One of these patients (stage II) also had recurrence after 6 months (recurrence rate: 6.7%). Conclusion: Talus IGC could be adequately managed with curettage and bone grafting through a medial malleolus osteotomy. Even so, mild pain and reduced ankle ROM remain in some patients. Level of Evidence: Level IV, retrospective cohort study.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Intraosseous Ganglion Cyst of the Talus Treated With Curettage and Bone Grafting Through a Medial Malleolus Osteotomy

et al. 2022

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“…Previous anatomical and surgical technique studies have shown that both procedures are feasible and safe, with specific guidance for arthroscopic portal placement available. 9 , 11 , 23 , 24 For both approaches, the authors find that the use of an invasive distractor, such as the Hintermann spreader, is a critical step in achieving adequate working space for a successful treatment.…”

Section: Discussionmentioning

confidence: 99%

Talonavicular Osteochondral Lesions: Surgical Technique and Clinical Outcomes from the Boston and Amsterdam Perspectives

Rikken,

Dahmen,

Gianakos

et al. 2023

CARTILAGE

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Purpose The primary purpose of the present study was to assess the patient-reported outcomes, complications, and reoperation rate of patient who underwent surgical treatment for symptomatic osteochondral lesions of the talonavicular joint (TNJ). Methods Patients undergoing surgical treatment for symptomatic osteochondral lesions of the TNJ with a minimum of 12-month follow-up were included. Outcomes included clinical patient-reported outcome measures (PROMs), return to sports and work outcomes, and postoperative complications or reoperations. Medical records were screened by 2 independent reviewers. Patients were contacted by phone and underwent an in-depth interview. Additionally, operative techniques for both arthroscopic and open surgical approaches for treating TNJ osteochondral lesions were described. Design Retrospective Case Series (Level IV) and Surgical Technique. Results A total of 7 patients were included with a final follow-up time of 25.4 (SD: 15.2) months follow-up. PROMs were considered satisfactory for 5 out of 7 patients, 6 out of 7 patients returned to any level of sports at a mean of 3.7 (SD: 4.2) months, and 5 out of 6 patients returned to preinjury level of sports at a mean of 14 (SD: 7.5) months. All patients returned to work at an average of 5.4 (SD: 3.6) weeks. No complications or reoperations after index surgery were reported. Conclusion Surgical treatment of TNJ osteochondral lesions is a feasible procedure that may offer successful clinical, sport, and work outcomes in the majority of patients. Both open and arthroscopic surgical treatments are available and can be considered in a patient-specific treatment plan.

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Talonavicular Joint Approach to the Talar Body: A Cadaver Study

Abstract: This study shows that talar dome lesions can be reached with a minimally invasive method.

Cited by 2 publications

References 11 publications

Intraosseous Ganglion Cyst of the Talus Treated With Curettage and Bone Grafting Through a Medial Malleolus Osteotomy

Intraosseous Ganglion Cyst of the Talus Treated With Curettage and Bone Grafting Through a Medial Malleolus Osteotomy

Talonavicular Osteochondral Lesions: Surgical Technique and Clinical Outcomes from the Boston and Amsterdam Perspectives

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