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Orthop Surg 2022 Jun 22. Epub 2022 Jun 22.

Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Background: Talus fractures are rare in children but can lead to severe outcomes if untreated. The Ilizarov external fixator has been used in the treatment of a variety of lower extremity pathologies. The purpose of this study was to investigate the clinical outcomes of talus body fractures treated with the Ilizarov external fixator. Read More

Sports Biomech 2022 Jun 20:1-22. Epub 2022 Jun 20.

Bioinspired Devices and Tissue Engineering (BIOINSPIRA) Research Group, School of Biomedical Engineering and Health Sciences, Faculty of Engineering, Universiti Teknologi Malaysia, Johor Bahru, Malaysia.

Previous research has reported that up to 92% of injuries amongst badminton players consist of lower limb, whereby 35% of foot fractures occurred at the metatarsal bone. In sports, insoles are widely used to increase athletes' performance and prevent many injuries. However, there is still a lack of badminton insole analysis and improvements. Read More

Am J Transl Res 2022 15;14(5):3261-3268. Epub 2022 May 15.

Department of Hand and Foot Micro Orthopedics, The Second People's Hospital of Dongying City Dongying 257335, Shandong, China.

Objective: To explore the efficacy of arthroscopic-assisted reduction and internal fixation (ARIF) and traditional open reduction and internal fixation in the treatment of talus fractures.

Methods: This study retrospectively analyzed the clinical data of 92 patients with talus fractures admitted to our hospital. The patients were divided into a control group (treated with traditional open reduction and internal fixation) and a research group (with ARIF) with 46 cases in each. Read More

Foot Ankle Clin 2022 Jun 11;27(2):385-399. Epub 2022 May 11.

Department of Orthopaedic Surgery, University of Colorado School of Medicine, 12631 East 17th Ave, Room 4508, Aurora, CO 80045, USA.

Osteochondral lesions of the talus are a common result of traumatic ankle injury. Due to the low success rates of nonoperative management, surgical management of osteochondral lesions of the talus (OLTs) has evolved considerably over the past decade as more outcomes research has emerged, new techniques have been described, and we have developed a better understanding of the role of biologics in the treatment algorithm. We describe, in sequence, the surgical management options, including salvage procedures, for failed treatment of OLTs. Read More

BMC Musculoskelet Disord 2022 Jun 7;23(1):546. Epub 2022 Jun 7.

Department of Orthopedic Surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

Background: Complete isolated calcaneal dislocation, defined as dislocation of talocalcaneal and calcaneocuboid joints with intact talonavicular joint without significant fracture, is an exceedingly rare injury.

Case Presentation: A 49-year-old man, after a motor vehicle collision, presented with a closed isolated anterolateral dislocation of the calcaneus associated with fracture of the sustentaculum tali, cuboid, lateral process of the talus, and avulsion fracture of superior peroneal retinaculum. Urgent successful closed reduction was immediately performed in the emergency room under sedation. Read More

BMC Musculoskelet Disord 2022 May 27;23(1):500. Epub 2022 May 27.

National Clinical Research Center for Orthopaedics, Sports Medicine & Rehabilitation, Beijing, China.

Background: Osteochondral lesion of the talus (OLT) is one of the most common ankle injuries, which will lead to biomechanical changes in the ankle joint and ultimately affect ankle function. Finite element analysis (FEA) is used to clarify the effect of talus osteochondral defects on the stability of the ankle joint at different depths. However, no research has been conducted on talus osteochondral defect areas that require prompt intervention. Read More

Zhonghua Yi Xue Za Zhi 2022 May;102(19):1472-1475

Department of Foot and Ankle Surgery, Xuzhou Renci Hospital, Xuzhou 221004, China.

This study aims to explore the clinical efficacy of arthroscopic-assisted reduction combined with robot-navigated nail placement in the treatment of talar neck fractures. The clinical data of 13 patients with talar neck fracture in Xuzhou Benevolent Hospital from January 2018 to January 2021 were analyzed in the retrospective study. Among them, there were 9 males and 4 females, aged (36±12) years; there were 8 cases suffered on the right and 5 cases on the left. Read More

Int Orthop 2022 May 16. Epub 2022 May 16.

Foot and Ankle Surgery Department, Honghui Hospital of Xi'an Jiaotong University, Xi'an, Shanxi, 710054, China.

Purpose: Open reduction and internal fixation (ORIF) is the most commonly used surgical technique for talar neck fracture, but there are high risks for complications and poor functional outcomes. In this study, we reported the closed reduction and percutaneous internal fixation (CRPIF) technique of the bilateral approach of the Achilles tendon for simple displaced talar neck fracture, in comparison with ORIF.

Methods: Data of 15 patients in the CRPIF group and 22 in the ORIF group were included. Read More

J ISAKOS 2022 04 14;7(2):62-66. Epub 2022 Jan 14.

Department of Orthopaedics, Sahlgrenska University Hospital, Sahlgrenska Academy, Gothenburg University, Göteborg, Sweden.

Background: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle is based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively advance toward consensus opinions based on the best available evidence on key topics within cartilage repair of the ankle. The purpose of this article is to report the consensus statements on "terminology for osteochondral lesions of the ankle" developed at the 2019 International Consensus Meeting on Cartilage Repair of the Ankle. Read More

Foot Ankle Int 2022 Jun 10;43(6):783-789. Epub 2022 May 10.

Nisantasi Ortopedi Merkezi ayak-ayak bileği cerrahisi kliniği, Istanbul, Turkey.

Background: Osteochondral lesions of the talus (OLT) treatment is widely debated when the lesion size exceeds 150 mm. The aim of this study was to assess functional outcome and satisfaction rates of the autologous matrix-related chondrogenesis (AMIC) technique and compare the outcomes for OLTs larger than 150 mm that were classified as primary, primary with local tumor-related OLT, or revision cases.

Methods: A total of 77 patients who were operated by AMIC were included. Read More

J Foot Ankle Surg 2022 May-Jun;61(3):676-677

Department of Orthopedic Surgery, Amsterdam Movement Sciences, Amsterdam UMC, Location AMC, University of Amsterdam, Amsterdam, The Netherlands; Academic Center for Evidence based Sports medicine (ACES), Amsterdam UMC, Amsterdam, The Netherlands; Amsterdam Collaboration for Health and Safety in Sports (ACHSS), International Olympic Committee (IOC) Research Center, Amsterdam UMC, Amsterdam, The Netherlands. Electronic address:

Orthop Traumatol Surg Res 2022 Jun 22;108(4):103287. Epub 2022 Apr 22.

Department of Radiology, Faculty of Medicine, Ataturk University, 25240 Erzurum, Turkey. Electronic address:

Arch Orthop Trauma Surg 2022 Apr 25. Epub 2022 Apr 25.

University Center of Orthopaedic, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus, Dresden, Germany.

Background: Degloving of the sole of the foot is a rare and serious injury because the heel pad cannot be replaced by similar tissue. The management is challenging and only a few cases have been reported with different treatment regimens.

Methods: Here, we report on a 46-year-old female patient with complex foot trauma consisting of complete avulsion of the heel pad at the hindfoot and a soft tissue defect at the posterior aspect of the heel accompanied by rupture of the anterior tibial tendon and fractures of the talus, calcaneus and midfoot. Read More

J Orthop Case Rep 2021 Oct;11(10):30-32

Mercy Hospital - Springfield, Trauma & Burn Research, 1235 E Cherokee, Springfield, MO 65804 USA.

Introduction: Talus fracture injuries are rare and most literature pertains to fractures in skeletally mature adults. It is unusual for pediatric talus fractures to be treated operatively and is normally treated with immobilization. The location of the talus fracture required a medial malleolar osteotomy to facilitate exposure and reduction, which was fixed with temporary smooth K-wires. Read More

BMJ Case Rep 2022 Apr 7;15(4). Epub 2022 Apr 7.

Orthopaedics and Traumatology, Klinik Diakonissen Schladming, Schladming, Austria

We present a case report of a man in his 20s with osteochondritis dissecans of the talus, treated with autologous transplantation of a vascularised osteochondral flap. The patient with high level of activity presented to our orthopaedic outpatient department for progressive limping and pain, mainly related to sports. An osteochondritis dissecans grade IV of the medial talus was identified by MRI. Read More

BMC Musculoskelet Disord 2022 Apr 2;23(1):313. Epub 2022 Apr 2.

Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA.

Background: Osteochondral lesions of the talus (OLT) are common after ankle trauma. Studies have shown that bioactive substances, such as hyaluronic acid (HA), alone, or in combination, with surgical treatment could improve cartilage regeneration and repair, but the effect of HA on patient reported outcomes is unclear.

Methods: Literature searches were performed across four databases (PubMed, SPORTDiscus, Scopus, and The Cochrane Library) for randomized controlled trials in which at least one treatment arm involved use of HA as an adjunct to microfracture to treat patients with OLT. Read More

Clin Orthop Relat Res 2022 Jun 29;480(6):1126-1128. Epub 2022 Mar 29.

Orthopaedic Surgeon, MedStar Union Memorial Hospital, Baltimore, MD, USA.

Int Orthop 2022 Jul 25;46(7):1547-1555. Epub 2022 Mar 25.

Department of Hand and Foot Surgery, The Affiliated Hospital of Qingdao University, 1677, Wutaishan Road, Huang Dao Area, Qing Dao City, Shan Dong Province, 266000, China.

Purpose: There are few studies on the clinical outcomes of osteochondral autologous transplantation (OAT) harvesting from local talar non-weight-bearing articular facets for the treatment of osteochondral lesions of the talus (OLTs). The purpose of this study was to review the short- to midterm outcomes of our patients who were treated with OAT harvesting from ipsilateral talar articular facets for OLTs.

Methods: Between December 2010 and November 2018, 24 patients were enrolled in this study. Read More

Zhongguo Gu Shang 2022 Mar;35(3):300-4

The Affiliated Hospital of Gansu University of Traditional Chinese Medicine, Lanzhou 730000, Gansu, China.

The proximal medial column of the humerus is a continuous cortical region in the inner and lower part of the humerus head, which has attracted more and more attention in clinical and scientific research since it was proposed. It has been shown to increase the stability of internal fixation, maintain the height of the humeral head to prevent varus, and reduce the risk of screw penetration. Biomechanical studies have also shown that the medial column has an outstanding performance in increasing the stiffness, torsion resistance, and shear resistance of the locking plate. Read More

Radiographics 2022 May-Jun;42(3):661-682. Epub 2022 Mar 11.

From the Department of Radiology, UCSD Health System, 408 Dickinson St, San Diego, CA 92103-8226 (E.S.); and Department of Radiology, UT Health Science Center, San Antonio, Tex (M.D.).

The hindfoot consists of the talus and calcaneus, spans the tibiotalar to transverse tarsal joints, and is critical for support of body weight and absorption and transfer of physiologic loads during bipedal movements. Hindfoot fractures account for approximately 17% of foot and ankle fractures, with calcaneal fractures being more common than talar fractures. Hindfoot fractures are usually caused by high-impact axial loads such as falls from heights and motor vehicle accidents, and understandably, they are often seen in patients with polytrauma. Read More

J Foot Ankle Surg 2022 May-Jun;61(3):442-447. Epub 2021 Jun 20.

Fellow, Department of Sports Medicine, Sutter-PAMF, Palo Alto, CA.

The management of transchondral and osteochondral talar lesions has evolved, with microfracturing originally considered the best initial treatment. Despite talar lesions being a tri-dimensional defect, most studies use 2-dimensional parameters to grade them. We propose in this study that tri-dimensional sizing may be more appropriate in evaluation for treatment. Read More

Acta Chir Orthop Traumatol Cech 2022 ;89(1):37-42

Ortopedicko-traumatologická klinika, 3. lékařská fakulta Univerzity Karlovy a Fakultní nemocnice Královské Vinohrady, Praha.

PURPOSE OF THE STUDY The study analyses a cohort of patients with surgically treated ankle fractures who developed complete distal tibiofibular synostoses. It focuses on their occurrence and association with the extent of tibiotalar dislocation of the ankle joint on the trauma X-ray and its relation to the choice of surgery. MATERIAL AND METHODS The cohort of a total of 824 patients with type B and C fractures according to Weber classification was followed up for 9 years. Read More

Cells 2022 02 11;11(4). Epub 2022 Feb 11.

Department of Foot and Ankle Surgery, Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Oswestry SY10 7AG, UK.

Osteochondral defects of the ankle (OCD) are being increasingly identified as a clinically significant consequence of injury to the ankle, with the potential to lead to osteoarthritis if left untreated. The aim of this retrospective cohort study was to evaluate a single-stage treatment of OCD, based on bone marrow aspirate (BMA) centrifuged to produce bone marrow concentrate (BMC). In a dual syringe, the concentrate was mixed with thrombin in one syringe, whereas hyaluronan and fibrinogen were mixed in a second syringe. Read More

Eur J Trauma Emerg Surg 2022 Feb 23. Epub 2022 Feb 23.

AO Research Institute Davos, Davos, Switzerland.

Purpose: Pathologies of the medial talus (e.g., fractures, tarsal coalitions) can lead to symptomatic problems such as pain and nonunion. Read More

J Foot Ankle Surg 2022 Jul-Aug;61(4):e34-e39. Epub 2022 Jan 23.

Consultant Radiologist and Research Officer, Oasis Orthopaedic & Sonography Clinic, Pune, Maharashtra, India.

Pilon fractures are intra-articular injuries involving the tibial plafond and have a wide range of complexity. The timing and type of fixation in these injuries is dictated by soft tissue status and energy imparted to the distal tibial plafond. We had a unique clinical situation in which axial loading of the talus caused severe comminution of the tibial plafond and fracture of the distal third of the fibula. Read More

Injury 2022 Jun 12;53(6):2311-2317. Epub 2022 Feb 12.

Trauma Unit, Location Academic Medical Center, Amsterdam University Medical Center, Amsterdam, The Netherlands. Electronic address:

Background: Since talus fractures are rare, study populations are frequently small. The aim of this study is to describe how surgical treatment of talar neck and body fractures and postoperative complications affect functional outcome and quality of life measured by validated questionnaires.

Methods: All patients following surgically treated talar neck and/or body fracture between January 2000 and December 2019 at a level 1 trauma center were included in this retrospective cohort study. Read More

Clin Orthop Relat Res 2022 06 7;480(6):1112-1125. Epub 2022 Feb 7.

Department of Trauma and Orthopaedic Surgery, University Hospitals of Leicester NHS Trust, Leicester, UK.

Background: Osteochondral lesions of the talus are common, particularly after trauma. Arthroscopic bone marrow stimulation has emerged as the first-choice surgical treatment for small primary lesions less than 100 mm2. Individual studies on the topic are small and heterogeneous, and they have differed in their main findings; for this reason, systematically reviewing the available evidence seems important. Read More

J Orthop Surg Res 2022 Feb 3;17(1):69. Epub 2022 Feb 3.

Department of Musculoskeletal Disorders, Faculty of Medicine and Surgery, University of Salerno, Salerno, Italy.

Background: The arthroscopic modified Broström procedure, with repair of the anterior talofibular ligament and extensor retinaculum, produces good functional outcomes in patients with chronic lateral ankle instability (CLAI). CLAI can be associated with osteochondral lesions of the talus (OLTs). It remains unclear whether associated limited OLTs affect clinical outcomes in such patients. Read More

JBJS Case Connect 2021 08 4;11(3). Epub 2021 Aug 4.

Karamandaneio Children's Hospital, Patras, Greece.

Case Report: Fractures of the talus in adolescents are uncommon and usually involve the talar body or neck. We report a rare fracture of the entire posterior talar process in a 14-year-old boy who fell during skateboarding. He was managed with open reduction and fixation with a headless screw. Read More

Foot Ankle Orthop 2021 Apr 4;6(2):24730114211012691. Epub 2021 Jun 4.

Resurgens Orthopedics, Marietta, GA, USA.

Background: Fractures of the talus are a rare but challenging injury. This study sought to quantify the area of osseous exposure afforded by a posteromedial approach to the talus and medial malleolar osteotomy.

Methods: Five fresh-frozen cadaveric lower extremities were dissected using a posteromedial approach and medial malleolar osteotomy respectively. Read More