2,692 results match your criteria: "Talus Fractures"
Reconstruction of Bilateral Hindfoot Open Fracture Using the Femoral Head Allograft: A Three-Year Follow-Up Case Report.
Cureus
November 2024
Orthopedic Surgery Department, King Fahad Medical City, Riyadh, SAU.
This case report presents a three-year follow-up of a young male with bilateral hindfoot fractures due to a high-energy road traffic accident, resulting in a comminuted open calcaneal fracture on the left and an open fracture-dislocation of the right talus. Staged reconstruction was performed, including initial debridement, temporary cement spacers, and subsequent fixation with femoral head allografts (FHAs). The right foot underwent a tibiotalocalcaneal (TTC) fusion, and the left foot received a double arthrodesis.
View Article and Find Full Text PDFEpidemiology 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.
[Navigated and minimally invasive screw osteosynthesis of a talus fracture].
Unfallchirurgie (Heidelb)
December 2024
Klinik für Unfallchirurgie, Technische Universität München, Klinikum rechts der Isar, Ismaninger Straße 22, 81675, München, Deutschland.
Objective Of Surgery: The aim of this surgery is to safeguard the multifragmentary and nondisplaced talus fracture (body and neck) against secondary dislocation in a navigated and minimally invasive manner using screw osteosynthesis.
Indications: Due to the young age of the patient in the presented case and the risk of a possible secondary dislocation, the decision was made in favor of surgical treatment.
Contraindications: Soft tissue swelling, wound infections and allergies to the osteosynthesis material.
Allograft Bone Screw in a Comminuted Hawkins III Talar Neck Fracture: Case Report.
J Clin Med
December 2024
Department of Orthopaedics and Trauma, Medical University of Graz, 8036 Graz, Austria.
Talar neck fractures are complex injuries that become particularly challenging when accompanied by bone loss or comminution. This case report introduces the use of an allograft bone screw as a novel method for bridging lateral comminution at the talar neck, providing structural support and promoting bone regeneration. : A 20-year-old male sustained a comminuted talar neck fracture with subtalar and tibiotalar dislocation after a bouldering fall.
View Article and Find Full Text PDFBallistic talus fractures: a retrospective analysis.
Arch Orthop Trauma Surg
December 2024
Washington University School of Medicine in St. Louis, St. Louis, USA.
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.
Arthroscopy combined with bone tunnel technique for treating Berndt and Harty stage III or IV osteochondral lesions of the talus.
Int Orthop
December 2024
Department of Foot and Ankle Surgery, Xuzhou Renci Hospital, Xuzhou, 221000, Jiangsu, China.
Purpose: To explore the efficacy and feasibility of arthroscopy combined with bone tunnel technique in treating Berndt and Harty stage III or IV osteochondral lesions of the talus (OLT).
Methods: A retrospective analysis was conducted on the clinical data of 21 patients with Berndt and Harty stage III or IV OLT who underwent surgical treatment at our institution from September 2017 to September 2022. Under arthroscopy, the displaced talar osteochondral lesion was restored.
Clinical Outcomes of Talus Bone Marrow Edema: Comparing Plaster Cast, Crutches, and Walking Boot Treatments.
Med Sci Monit
November 2024
Department of Ortopaedics and Traumatology, Yeni Yüzyil University Gaziosmanpasa Hospital, Istanbul, Turkey.
Article Synopsis
- 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.
Concomitant Factors Associated With Tillaux-Chaput Fractures in Adults: A Case-Control Study.
Foot Ankle Int
December 2024
Department of Orthopaedic Surgery, Pontificia Universidad Católica de Chile, Santiago, Chile.
Background: Tillaux-Chaput fractures (TCFs) consist of fractures of the anterolateral distal tibia. They rarely occur in isolation in adults. When TCFs are missed, there is a risk of chronic pain, instability, and ankle osteoarthritis.
View Article and Find Full Text PDFTibiocalcaneal fusion using Ilizarov external fixator in total talar extrusion: A case report.
Chin J Traumatol
October 2023
Department of Orthopaedics, Hospital Sultanah Nur Zahirah, Kuala Terengganu, 20400, Terengganu, Malaysia.
Talar extrusions are the rare extreme case of talar fractures and dislocations which are associated with high-energy trauma. Given the rarity of talar extrusion, no proper treatment protocol has been established. The earlier treatment outcomes have been poor due to the high rate of infection and avascular necrosis.
View Article and Find Full Text PDFBeyond the imaging evaluation of fractures of the lateral process of the talus: Let's not forget concomitant injuries.
World J Clin Cases
October 2024
Department of Radiology, Faculty of Medicine, University of Concepción, Concepción 4030000, Biobío, Chile.
Fractures of the lateral process of the talus (FLPT) are uncommon fractures that represent a clinical challenge. Traditional radiological classification systems rely predominantly on radiographic findings. However, due to the high rate of FLPT misdiagnosis and the limited accuracy in evaluating concomitant talar injuries through plain radiographs, novel imaging classification systems have been developed that aim to enhance the diagnosis of concomitant talar injuries, thereby optimizing patient management and reducing the incidence of long-term complications.
View Article and Find Full Text PDFAvascular Necrosis of the Talus: Diagnosis, Treatment, and Modern Reconstructive Options.
Medicina (Kaunas)
October 2024
Orthopedic and Traumatology Department, Medical University of Warsaw, 02-091 Warszawa, Poland.
Article Synopsis
- - 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.
Relationship Between Ankle Ligamentous Injuries and Osteochondral Lesions in a Saudi Arabian Population: A Retrospective Cohort Study.
Cureus
September 2024
Orthopedic Surgery, King Abdulaziz University Faculty of Medicine, Jeddah, SAU.
Article Synopsis
- This study explored the connection between ankle ligament injuries and osteochondral defects (OCDs) in a sample of 215 patients seeking treatment for ankle injuries in Saudi Arabia from 2017 to 2022.
- The research categorized patients by age, sex, and type of injury, revealing that the most affected area for OCDs was the talus, with the anterior talofibular ligament (ATFL) being the most commonly injured.
- A significant relationship was found specifically between posterior talofibular ligament (PTFL) injury and talus OCDs, emphasizing the need for careful diagnosis and treatment of these injuries in patients with ongoing ankle pain.
Article Synopsis
- Talus fractures and subtalar dislocations in children are extremely rare, making up only a small percentage of pediatric injuries, emphasizing the uniqueness of such cases.
- A case study involving a 14-year-old with a medial subtalar dislocation and a Hawkins stage III talar neck fracture was successfully treated using the Bootjack Technique, with the patient recovering fully after immobilization and physiotherapy.
- Despite limited documented cases, it's important for medical professionals to recognize these injuries due to potential complications, highlighting that orthopedic treatment can be a safe and effective management option for young patients.
Posteromedial approach for the surgical management of posterior talar body fractures.
Trauma Case Rep
December 2024
Yale University School of Medicine Department of Orthopaedics and Rehabilitation, New Haven, CT, United States of America.
Article Synopsis
- Posterior talar body fractures are difficult to treat surgically, particularly when the articular surface is involved, necessitating precise anatomical reduction.
- The medial malleolus osteotomy (MMO) offers limited access and may harm the articular cartilage, while the posteromedial approach (PMA) provides better visibility and access to the entire posterior talus for effective treatment.
- This article discusses the PMA technique and presents outcomes from a large series of patients who experienced posterior talar body fractures managed with this method.
Management of Rarest Type of Talus Fracture: A Case Report.
Cureus
September 2024
Orthopedic Surgery, SRM Medical College Hospital and Research Centre, Chennai, IND.
Article Synopsis
- A 28-year-old male suffered a rare talus fracture after a road traffic accident, leading to severe pain and inability to walk.
- Imaging revealed multiple fractures in the talus, prompting surgical intervention involving open reduction and internal fixation.
- Post-surgery, the patient experienced no complications, and follow-up showed successful recovery with excellent functional scores and range of motion in the ankle.
Successful Management of a Neglected Talonavicular Joint Dislocation Using Corrective Osteotomy and Subtalar Fixation: A Case Report.
Cureus
September 2024
Department of Orthopaedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Article Synopsis
- 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.
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.
Article Synopsis
- * A systematic review revealed 13 cases of periprosthetic fractures categorized into the Hill-Brown classification, emphasizing that Type B fractures (distal tibial component) are the most common and are influenced by the implant's stability and surrounding bone condition.
- * Treatment usually involves surgical fixation with minimally invasive techniques for stable implants, while unstable cases may need further surgery, highlighting the need for better management strategies and suggesting the importance of future research for effective treatment protocols.
A rare case of "Hawkins type 3" talar neck fracture in a cat.
Open Vet J
August 2024
Department of Preclinical Sciences and Pathology, Faculty of Veterinary Medicine, Norwegian University of Life Sciences, Ås, Norway.
Article Synopsis
- * The fracture was treated using a type 1b external skeletal fixator (ESF), with a focus on ensuring proper stabilization while addressing complications related to the hock joint.
- * After 7 months, the cat displayed minimal lameness and some limited movement in the hock joint, suggesting that ESF may be an effective treatment option for similar fractures in pets.
Post-operative outcomes of talus fracture open reduction internal fixation in patients with diabetes mellitus.
J Foot Ankle Surg
September 2024
Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Article Synopsis
- The study investigates post-operative outcomes of talus fracture surgery in patients with different diabetes statuses: complicated diabetes, uncomplicated diabetes, and no diabetes.
- Utilizing the PearlDiver database, researchers analyzed data from 5,232 patients who underwent open reduction and internal fixation for talus fractures from 2009 to 2021.
- Results showed that diabetes patients, especially those with complicated diabetes, faced higher risks of complications like reoperation, acute kidney injury, and sepsis compared to non-diabetic patients within 3 months after surgery.
Talar head fractures: An observational study of 33 talar head fractures derived from the Swedish Fracture Register.
Injury
November 2024
Department of Diagnostics and Intervention (Orthopaedics), Umeå University, Umeå, Sweden. Electronic address:
Article Synopsis
- Talar head fractures are uncommon and mostly reported in men, often linked with other foot injuries and caused by high-energy trauma like car accidents and falls.
- The study analyzed 32 patients with 33 fractures, focusing on fracture characteristics, treatment options, and outcomes over at least two years.
- Most fractures required surgical intervention, primarily through screw fixation, with a notable absence of avascular necrosis in the cohort.
Effect of a Percutaneous Screw Guide on Screw Placement for Posterior Talar Fractures.
Ann Ital Chir
August 2024
Department of Orthopedics, Ningbo No.6 Hospital, 315000 Ningbo, Zhejiang, China.
Article Synopsis
- This study investigates whether percutaneous screw guides improve the accuracy of screw placement in surgery for talar fractures.
- Researchers used CT scans from healthy adults and cadaver specimens to create 3D models of ankle joints, allowing for precise anatomical analysis.
- The findings compared two groups—one using screw guides and another using free-hand techniques—evaluating parameters such as screw trajectories and operation time, ultimately assessing the effectiveness of the screw guides in surgery.
Neglected paediatric talus neck fracture: A successful clinical outcome without post-traumatic complications.
J Pak Med Assoc
August 2024
Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey.
Article Synopsis
- Paediatric talus fractures are very rare because the elastic cartilage in children can withstand higher forces compared to adults.
- The most common cause of these fractures is axial loading on the talus while the ankle is dorsiflexed.
- This text discusses a case of a teenage boy who successfully treated and followed up on a neglected talus neck fracture without surgery.
Pilon fracture with central articular surface collapse treated by posterior tibial fenestration indirect reduction and compression technique: Two cases report.
Medicine (Baltimore)
August 2024
Zhuhai People's Hospital (Zhuhai Clinical Medical College of Jinan University) and Department of Nursing, Zhuhai, Guangdong, China.
Article Synopsis
- Central collapsed fracture blocks, particularly pilon fractures classified under 43B2.3, present challenges with traditional reduction methods, risking soft tissue damage and tibial strength.
- In two cases of pilon fractures with central articular surface collapse and intact anterior cortex, a novel surgical approach using posterior tibial fenestration was employed, allowing for effective realignment of the bone.
- This technique resulted in successful recovery and functional improvement in patients, highlighting its advantages like minimizing tissue damage and facilitating bone grafting, thus offering a valuable alternative in surgery for such fractures.
Open total talus dislocation without concomitant malleoli fracture: a case report.
J Med Case Rep
August 2024
Dhaulagiri Hospital, Baglung, Nepal.
Article Synopsis
- Total talus dislocation without ankle fracture is a rare injury, accounting for only 0.06% of all dislocations, and often leads to complications like infection and arthritis.
- A case study details a 40-year-old woman who suffered an open total talus dislocation from an accident, confirmed by radiographs, and required immediate surgical intervention including debridement and ankle stabilization.
- The successful treatment enabled her to bear weight on the ankle with minimal pain and restored her normal range of motion, highlighting the importance of timely reduction and wound care to prevent further complications.