6,732 results match your criteria: "Navicular Fracture"

Aims: Which is the best extensile lateral (ELA) or sinus tarsi (STA) approach for osteosynthesis displaced intraarticular calcaneal fracture (DIACF) is still debatable. The current RCT's primary objective was to compare the complications incidence after open reduction and internal fixation of DIACFs through STA vs. ELA.

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Background: Bipartite medial cuneiform bone (BMC) is located at the Lisfranc joint of the midfoot, and it represents a rare variant involving two separate ossification centers in the medial cuneiform bone. Although BMC is typically asymptomatic, it can become clinically relevant under conditions of trauma or chronic stress, affecting foot stability.

Case Report: The current imaging report describes a 48-year-old female presenting with chronic dorsal midfoot pain, worsened by extended standing and ambulation.

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Epidemiology of talus fractures in Finland: a nationwide register study from 1997 to 2020.

BMC Musculoskelet Disord

December 2024

Unit of Musculoskeletal Surgery, Department of Orthopedics and Traumatology, Tampere University Hospital, Tampere, Finland.

Background: The aim of this study was to estimate the nationwide incidence of talus fractures (per 100 000 person-years) and to determine the incidence of operative treatment in the Finnish population.

Methods: Based on Finnish Care Register for Health Care data, all patients 18 years and older admitted to hospital with talar fractures between 1997 and 2020 were included.

Results: During the 24-year study period, 5247 patients with primary or secondary diagnoses of talar fracture were identified.

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Objective: Calcaneal fracture fixation remains a challenging procedure in orthopedics, with computational tools increasingly aiding in the optimization of preoperative planning. To compare the biomechanical stability of intramedullary fixation and locking plate fixation for Sanders II and III calcaneal fractures by three-dimensional (3D) finite element analysis and to provide a theoretical basis for clinical application.

Methods: The Computed Tomography (CT) images were segmented using Mimics software (Materialise NV, Belgium) to identify the region of interest based on threshold segmentation.

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Objective: Aim: The aim of this study is to evaluate the results of combined repositioning - open repositioning of the depressed articular facet combined with intraoperative two-vector distraction of the calcaneus with a new external fixation distraction apparatus and osteosynthesis with a calcaneal plate with angular stability of a Sanders IV type fracture..

Patients And Methods: Materials and Methods: This study evaluates the results of sequential two-vector distraction with a repositioning apparatus for open reduction and internal fixation (ORIF) of a Sanders IV calcaneal fracture.

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Introduction: Bipartite bone formation is a congenital variation occurring due to the incomplete ossification of newly forming bones in the body. The patella and sesamoid bones are the most common bipartite bone sites. However, some unusual bones can also have this kind of variation and it is important to diagnose them correctly and avoid unnecessary overtreatment.

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Article Synopsis
  • The study investigates ballistic talus fractures, which are challenging to treat, highlighting the need for more research on these injuries.
  • A retrospective analysis included 21 patients with talus fractures, revealing that over half were displaced and many had additional injuries to the foot and ankle.
  • The findings indicated that surgical treatment improved the talar declination angle for those fractures but had notable complications, with a 29% complication rate, including cases of avascular necrosis.
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  • Calcaneal osteomyelitis is challenging to treat, often leading to high recurrence rates and below-knee amputations, especially with severe soft-tissue damage; this study evaluates the effectiveness of single-stage orthoplastic surgery for this condition.
  • A retrospective review included 30 patients treated from 2008 to 2022, assessing factors like osteomyelitis recurrence, flap failure, and complications; findings showed 77% had the infection eradicated, but 23% experienced recurrence, primarily in those who received local flaps.
  • The study concluded that while single-stage orthoplastic management can be effective, local flap reconstruction was linked to a higher recurrence risk, and free flaps took significantly longer to perform, without affecting hospital stay
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Lisfranc injuries were previously described as fracture-dislocations of the tarsometatarsal joints. With advancements in modern imaging, subtle Lisfranc injuries are now more frequently recognized, revealing that their true incidence is much higher than previously thought. Injury patterns can vary widely in severity and anatomy.

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Article Synopsis
  • This study investigates rehabilitation approaches for patients with surgically treated displaced intra-articular calcaneal fractures (DIACFs), comparing permissive weight bearing (PWB) and restricted weight bearing (RWB) protocols to identify the best option for recovery and overall health outcomes.
  • A randomized controlled trial will involve 115 patients aged 18-67, assessing primary functional outcomes via the American Orthopaedic Foot & Ankle Society Score (AOFAS) and secondary outcomes including quality of life and cost-effectiveness.
  • The goal is to determine if the PWB protocol is at least as effective as the RWB protocol in terms of safety and recovery, with follow-ups scheduled at specific intervals over
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Article Synopsis
  • Pathologic fractures and marrow lesions in the foot and ankle can result from various risk factors, particularly affecting the calcaneus, which supports weight during walking.
  • While many low-risk stress injuries are treated conservatively, some cases require surgical intervention, especially for chronic conditions.
  • This case report highlights the surgical use of subchondroplasty (SCP) to treat a chronic calcaneal bone marrow lesion caused by an insufficiency fracture, despite limited evidence supporting the technique.
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  • The study focused on comparing treatment outcomes for 70 patients with traumatic bone marrow edema (BME) in the talus, examining three different methods: plaster casts, crutches, and walking boots.
  • Results showed no significant differences in pre-treatment scores among the groups, but post-treatment scores revealed that crutches significantly improved function and reduced pain more than plaster casts.
  • The conclusion indicates that using non-weight-bearing crutches for three weeks offers better clinical outcomes, highlighting superior pain management and functional improvement compared to plaster casts.
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  • Calcaneal fractures are common foot injuries, and the study focuses on the effectiveness of using sustentaculum tali (ST) screws in conjunction with calcaneal locking plates for treating displaced intraarticular calcaneal fractures (DIACFs).
  • The research involved 64 patients, comparing two treatment methods: one using both a locking plate and ST screws and the other using only a locking plate, with evaluations conducted after at least 18 months.
  • Results showed that patients who received the combined treatment had better functional outcomes and less postoperative pain, indicating that the addition of the ST screw enhances clinical results without significantly affecting radiographic measures.
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Article Synopsis
  • * Results showed that patients in the accelerated rehabilitation group had higher satisfaction rates (96.07% vs. 80.00%), lower pain levels, quicker swelling reduction times, and fewer complications (7.84% vs. 24.00%).
  • * Accelerated nursing not only improved patient outcomes but also led to a shorter average hospital stay compared to traditional care, indicating its potential for wider clinical use.
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  • - Talar avascular necrosis (AVN) often develops after severe talar neck fractures, with early detection being vital to prevent serious damage; conditions like diabetes and systemic lupus can contribute to AVN risk.
  • - Initial stages of AVN (I-II) can often be treated non-surgically, while advanced stages (III-IV) may require more invasive procedures like hindfoot arthrodesis or total talar replacement (TTR).
  • - The rise of advanced prosthetics through 3D printing is improving the success rate of TTR, which offers benefits like reduced pain, fewer complications, and preservation of limb length compared to traditional joint-sacrificing procedures.
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Background: The surgical treatment and management of postoperative soft tissue complications in diabetic patients with displaced calcaneal fractures are still controversial. We aimed to evaluate the short-term efficacy of percutaneous minimally invasive screw fixation in treatment of diabetic patients with Sanders II and III calcaneal fractures under subtalar arthroscopy assisted by preoperative musculoskeletal ultrasonic locating lateral calcaneal branch (LCB) of the sural nerve and calcaneal-talar joint distraction device.

Methods: The clinical data of 52 diabetic patients diagnosed with Sanders II or III calcaneal fractures from March 2016 to August 2020 were followed up and analyzed.

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Article Synopsis
  • - The study analyzed the OXYGEN trial, which compared high levels of oxygen (80% FiO2) vs. lower levels (30% FiO2) for preventing infections in patients with specific types of fractures and aimed to see if using an "as-treated" approach changed the results compared to the "intention-to-treat" method.
  • - Conducted at 29 trauma centers, 1,231 patients with tibial plateau, tibial pilon, or calcaneus fractures were randomly assigned to either oxygen treatment; adherence was evaluated using two specific criteria based on the percentage of surgery time at different oxygen levels.
  • - Results showed no significant differences in primary and deep infection rates, but the treatment group had fewer
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Article Synopsis
  • The study aims to identify factors that lead to chronic regional pain syndrome (CRPS) in patients with non-displaced Sanders type 1 calcaneal fractures treated conservatively, focusing on the effects of Vitamin C supplementation.
  • A review of medical records from 340 patients revealed that CRPS occurred in 12.4% of cases, with longer immobilization duration, higher smoking rates, more diabetes, and lower Vitamin C intake linked to increased risk of CRPS.
  • The findings suggest that risk factors for CRPS include extended immobility, female sex, lack of Vitamin C supplementation, and the presence of diabetes and smoking habits.
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Article Synopsis
  • A 58-year-old man sustained a Sanders type III calcaneus fracture from a fall, leading to the rare complication of a traumatic chylous effusion during surgery.
  • To manage the concern of infection during the operation, provisional K-wire-assisted reduction was performed, followed by stabilization with antibiotic mixed polymethylmethacrylate cement instead of traditional fixation methods.
  • The case demonstrates the effective use of antibiotic cement in treating intra-articular calcaneus fractures complicated by chylous effusion, resulting in an excellent patient outcome.
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Objective: The objective of this study was to evaluate the effect of open reduction and internal fixation for displaced intra-articular calcaneal fractures through a modified tarsal sinus incision.

Methods: A retrospective review over 3 years of the clinical data of patients with intra-articular calcaneal fractures treated with open reduction and internal fixation through lateral hook curvy incisions. The efficacy of the 25 lateral hook curvy incisions was analyzed.

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Article Synopsis
  • Calcaneal body fractures can cause foot shortening, impacting function, making restoration of length important for recovery.
  • This study used finite element analysis to evaluate different internal fixation methods—distraction screw, lag screw, frame locking plate, and T-shaped locking plate—for treating Sanders type II calcaneal fractures under varying forces.
  • Results showed that the distraction screw minimized shortening and stress on the calcaneus compared to other methods, suggesting it may be the best option for preventing calcaneal shortening.
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  • The talonavicular joint (TNJ) dislocation happens when two bones, the talus and navicular, lose their connection completely, mostly due to injuries.
  • Medial dislocations are more common, while lateral dislocations often come with fractures in another joint called the calcaneocuboid.
  • A case study talks about a six-month-old TNJ dislocation that needed surgery to fix it, and afterward, the patient had no more pain.
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Reconstruction of bone defects around the ankle with retrograde gentamicin-coated tibial intramedullary nail (ETN PROtect™) for tibiotalocalcaneal arthrodesis: a case series.

Eur J Orthop Surg Traumatol

October 2024

Limb of Lengthening and Reconstruction Unit, Clínica Imbanaco Grupo QuirónSalud, Carrera 38A #5ª-100, Tower A, Office 803, Cali, Colombia.

Article Synopsis
  • The study aimed to evaluate the effectiveness of a gentamicin-coated tibial nail (PROtect™) in patients needing tibiotalocalcaneal arthrodesis due to tibial defects.
  • It involved a review of seven male patients treated between January 2018 and December 2023, focusing on fracture healing, complications, and quality of life outcomes.
  • Results showed that most patients achieved fracture union, though a few experienced complications; overall, PROtect™ was deemed a promising option for enhancing bone healing and reducing infection risks in complex cases.
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Comparison of Arthroscopic Microfracture and Retrograde Subchondral Drilling in the Treatment of Osteochondral Lesions of Talus.

Acta Chir Orthop Traumatol Cech

September 2024

Bahçeşehir University Medical School, Department of Orthopedics and Traumatology, VM Medicalpark Pendik Hospital, Department of Orthopedics and Traumatology, İstanbul, Turkey.

Article Synopsis
  • The study aimed to evaluate the effectiveness of two treatment methods, microfracture and retrograde subchondral drilling, for patients with osteochondral lesions of the medial talus during ankle arthroscopy.
  • A total of 28 patients were analyzed, with 16 undergoing microfracture and 12 receiving retrograde drilling, and both groups showed similar postoperative outcomes as measured by the Foot and Ankle Ability Measure (FAAM).
  • The conclusions indicated that both treatment methods are effective for smaller osteochondral lesions (less than 1.5 cm²), with retrograde subchondral drilling being a viable alternative that yields reliable clinical results.
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  • Foot lameness is a common issue in Standardbred and Thoroughbred racehorses, and MRI is used to diagnose soft tissue and bone problems in their lower limbs.
  • The study analyzed MRI records from both horse types to identify and compare abnormalities that could be causing lameness over a ten-year period.
  • Results showed significant differences in MRI findings, with Standardbreds having higher occurrences of certain issues like distal phalangeal fractures and STIR hyperintensity compared to Thoroughbreds.
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