Total talar fracture – Long-term results of internal fixation of talar fractures. A multicentric study of 114 cases

Fournier, A; Barba, N.; Steiger, Vincent; Lourdais, Anne; Frin, J.-M.; Williams, Thomas A.; Falaise, V.; Pineau, V.; Chou, E. Salle de; Noailles, Thibaut; Carvalhana, G.; Ruhlmann, F.; Huten, D.

doi:10.1016/j.otsr.2012.04.012

Cited by 65 publications

(68 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Many studies have demonstrated that the main reason for poor outcomes is post-traumatic arthritis, which is dependent on malunion and damage to the cartilage at the time of injury [15,20,21]. Anatomical reduction is difficult to obtain owing to the complex anatomy of the talus and comminuted nature of the fractures [8]. A dual approach can provide better control during reduction because the medial and lateral faces of the talar neck are exposed, so many surgeons recommend dual approaches to obtain anatomical reduction and axial alignment [15,22,23].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Treatment of displaced talar neck fractures using delayed procedures of plate fixation through dual approaches

Xue

Zhang

Pei

et al. 2013

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Purpose Treatment of talar neck fractures is challenging. Various surgical approaches and fixation methods have been documented. Clinical outcomes are often dissatisfying due to inadequate reduction and fixation with high rates of complications. Obtaining satisfactory clinical outcomes with minimum complications remains a hard task for orthopaedic surgeons. Methods In the period from May 2007 to September 2010, a total of 31 cases with closed displaced talar neck fractures were treated surgically in our department. Injuries were classified according to the Hawkins classification modified by Canale and Kelly. Under general anaesthesia with sufficient muscle relaxation, urgent closed reduction was initiated once the patients were admitted; if the procedure failed, open reduction and provisional stabilisation with Kirschner wires through an anteromedial approach with tibiometatarsal external fixation were performed. When the soft tissue had recovered, definitive fixation was performed with plate and screws through dual approaches. The final follow-up examination included radiological analysis, clinical evaluation and functional outcomes which were carried out according to the Ankle-Hindfoot Scale of the American Orthopaedic Foot and Ankle Society (AOFAS), patient satisfaction and SF-36. Results Twenty-eight patients were followed up for an average of 25 months (range 18-50 months) after the injury. Only two patients had soft tissue complications, and recovery was satisfactory with conservative treatment. All of the fractures healed anatomically without malunion and nonunion, and the average union time was 14 weeks (range 12-24 weeks). Posttraumatic arthritis developed in ten cases, while six patients suffered from avascular necrosis of the talus. Secondary procedures included three cases of subtalar arthrodesis, one case of ankle arthrodesis and one case of total ankle replacement. The mean AOFAS hindfoot score was 78 (range 65-91). According to the SF-36, the average score of the physical component summary was 68 (range 59-81), and the average score of the mental component summary was 74 (range 63-85). Conclusions Talar neck fractures are associated with a high incidence of long-term disability and complications. Urgent reduction of the fracture-dislocation and delayed plate fixation through a dual approach when the soft tissue has recovered may minimise the complications and provide good clinical outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Avascular necrosis was defined as any area of increased density of the talar dome relative to the adjacent structures [3]. The clinical outcome was evaluated using the AnkleHindfoot Scale of the American Orthopaedic Foot and Ankle Society (AOFAS) [7], SF-36 and patient satisfaction [8].…”

Section: Methodsmentioning

confidence: 99%

Treatment of displaced talar neck fractures using delayed procedures of plate fixation through dual approaches

Xue

Zhang

Pei

et al. 2013

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

“…1 Late complications include osteonecrosis, posttraumatic arthritis, osteomyelitis, stiffness, malunion, and nonunion. [1][2][3][4] Posttraumatic arthritis of the subtalar joint is the most common late complication and can involve the ankle, subtalar, and/or talonavicular joint. 2 This can present as pain and stiffness of the involved joint.…”

mentioning

confidence: 99%

Arthroscopic Capsular Release of the Talocalcaneonavicular Joint

Lui¹

2016

Arthroscopy Techniques

View full text Add to dashboard Cite

Arthrofibrosis of the talocalcaneonavicular joint can follow talar neck fracture especially if anterior approaches have been used for fracture fixation. Capsular release of the talocalcaneonavicular joint is indicated if the painful hindfoot stiffness cannot be controlled with conservative treatment. Open capsular release of the talocalcaneonavicular joint demands extensive soft tissue dissection and hinders early postoperative mobilization exercise of the joint. The purpose of this technical note is to describe a minimally invasive approach of arthroscopic capsular release of the talocalcaneonavicular joint that is composed of arthroscopic release of the talonavicular joint and the anterior subtalar joint. This allows immediate postoperative mobilization of the joint.

show abstract

“…The talus has a unique anatomic shape and function. Without direct muscle attachments, it provides the junction between the lower leg and the foot (2,3). Displacement of the fragments leads to subluxation of the subtalar joint, and most researchers have recommended open reduction and internal fixation for displaced fractures (2,(4)(5)(6).…”

mentioning

confidence: 99%

“…The process of open reduction and internal fixation has historically been thought to facilitate revascularization and prevent osteonecrosis (2)(3)(4)(5). Variable-pitch screws have some biomechanical advantages compared with conventional screws in talus fracture fixation.…”

mentioning

confidence: 99%

Mechanical Comparison of Headless Screw Fixation and Locking Plate Fixation for Talar Neck Fractures

Karakaşlı

Hapa

Erduran

et al. 2015

The Journal of Foot and Ankle Surgery

View full text Add to dashboard Cite

Total talar fracture – Long-term results of internal fixation of talar fractures. A multicentric study of 114 cases

Cited by 65 publications

References 19 publications

Treatment of displaced talar neck fractures using delayed procedures of plate fixation through dual approaches

Treatment of displaced talar neck fractures using delayed procedures of plate fixation through dual approaches

Arthroscopic Capsular Release of the Talocalcaneonavicular Joint

Mechanical Comparison of Headless Screw Fixation and Locking Plate Fixation for Talar Neck Fractures

Contact Info

Product

Resources

About