1,832 results match your criteria Talus Fractures


Short-Term Effects of Manual Therapy in Patients After Surgical Fixation of Ankle and/or Hindfoot Fracture: A Randomized Clinical Trial.

J Orthop Sports Phys Ther 2019 Feb 13:1-32. Epub 2019 Feb 13.

University of Utah, Salt Lake City, UT.

Study Design: Multi-site double blind randomized clinical trial.

Background: Patients with surgical fixation of ankle and/or hindfoot fractures often experience decreased range of motion and loss of function following surgery and post-surgical immobilization, yet there is minimal evidence to guide care for these patients.

Objectives: To assess if manual therapy produces short-term improvements in range of motion, muscle stiffness, gait, and balance for patients undergoing operative fixation of an ankle and/or hindfoot fracture. Read More

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http://dx.doi.org/10.2519/jospt.2019.8864DOI Listing
February 2019

Clinical applications of allografts in foot and ankle surgery.

Knee Surg Sports Traumatol Arthrosc 2019 Feb 5. Epub 2019 Feb 5.

Orthopaedic Department, Centro Hospitalar Póvoa de Varzim, Vila do Conde, Portugal.

Purpose: The purpose of this review is to systematically analyse current literature on the use of allografts in the surgical treatment of foot and ankle disorders in adult patients. Based on this study, we propose evidence-based recommendations.

Methods: The database for PubMed was searched for all published articles. Read More

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http://link.springer.com/10.1007/s00167-019-05362-0
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http://dx.doi.org/10.1007/s00167-019-05362-0DOI Listing
February 2019
2 Reads

Bioabsorbable implants in foot trauma surgery.

Injury 2019 Jan 23. Epub 2019 Jan 23.

University of Turin, Clinica Ortopedica I, CTO Hospital Via Zuretti 29, 10126, Turin, Italy.

Background: Resorbable osteosynthesis has been used in orthopaedic surgery for many years. However, indications for the use of these implants in the surgery of traumatic lesions of the foot have not yet been clearly defined. The aim of this study is to analyse reported experiences with the bioabsorbable devices and to suggest guidelines for their use in foot trauma surgery METHODS: We conducted a literature review to identify known indications for the use of absorbable devices in traumatic lesions of the foot. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.016DOI Listing
January 2019

Magnetic resonance imaging of subchondral insufficiency fractures of the lower limb.

Skeletal Radiol 2019 Jan 31. Epub 2019 Jan 31.

Royal National Orthopaedic Hospital NHS Trust, Stanmore, UK.

Subchondral insufficiency fracture (SIF) is a non-traumatic condition that has historically been associated with elderly, osteoporotic women and patients with systemic conditions. There has been much work done to determine the pathogenesis of SIF, which has previously been regarded as idiopathic, rapid-progressive osteoarthritis or osteonecrosis of the hip, spontaneous osteonecrosis of the knee (SONK), osteochondral defect (OCD) of the talus and adult-onset Freiberg infraction of the metatarsal head. Early diagnosis and management are crucial to prevent subchondral collapse, secondary osteonecrosis and early-onset osteoarthritis. Read More

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http://dx.doi.org/10.1007/s00256-019-3160-4DOI Listing
January 2019
1 Read

Prevention of Avascular Necrosis with Fractures of the Talar Neck.

Foot Ankle Clin 2019 Mar 9;24(1):47-56. Epub 2018 Nov 9.

The Institute for Foot and Ankle Reconstruction at Mercy, 301 St Paul Place, Baltimore, MD 21202, USA.

Displaced talar neck fractures no longer constitute a surgical emergency; timing of definitive surgery has no bearing on the risk of osteonecrosis. Amount of initial fracture displacement is best predictor of osteonecrosis. Grossly displaced fractures or fracture-dislocations should be provisionally reduced, with or without temporary external fixation. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.09.003DOI Listing
March 2019
1 Read
0.844 Impact Factor

Avascular Necrosis of the Tibial Plafond Following Rotational Ankle Fractures.

Foot Ankle Clin 2019 Mar 16;24(1):113-119. Epub 2018 Nov 16.

Foot and Ankle Surgery, UCLA Harbor Medical Center, 1000 W. Carson Street, Torrance, CA 90502, USA; Foot and Ankle Department, Congress Medical Associates, 800 South Raymond, 2nd Floor, Pasadena, CA 91105, USA.

Avascular necrosis (AVN) following rotational ankle fractures is most commonly described in the talus; however, it can also occur in the tibial plafond. These sequelae of ankle fractures are rarely described in the literature. Diagnosis of AVN is best confirmed with MRI of the involved extremity. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.10.003DOI Listing
March 2019
6 Reads

Influence of intraoperative conventional fluoroscopy versus cone beam CT on long-term clinical outcome in isolated displaced talar fractures.

J Orthop Surg Res 2019 Jan 8;14(1). Epub 2019 Jan 8.

MINTOS - Medical Imaging and Navigation in Trauma and Orthopaedic Surgery, BG Trauma Center Ludwigshafen, Heidelberg University Hospital, Ludwig-Guttmannstr. 13, 67071, Ludwigshafen, Germany.

Introduction: The objective of the study was to compare the radiologic and clinical outcome of patients with an isolated displaced talus fracture treated intra-operatively with either conventional fluoroscopy or additional cone beam computed tomography (CT).

Methods: Conventional intraoperative fluoroscopy was performed in group 1 and cone beam CT was added in group 2. Clinical outcome was assessed using the Foot Function Index (FFI), American Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scale, and the Short-Form 12 (SF-12) survey. Read More

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http://dx.doi.org/10.1186/s13018-018-1043-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323861PMC
January 2019
2 Reads

Successful Limb Salvage Using Bone Transport for Complete Loss of Distal Tibia and Talus: A Case Report.

J Foot Ankle Surg 2019 Jan;58(1):195-199

Assistant Professor, Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea. Electronic address:

Complex comminuted fractures involving the distal tibia, ankle joint, and talus are often accompanied by bone loss and are highly prone to complications such as soft tissue infection, fixation failure, and posttraumatic arthrosis, with joint reconstruction being difficult in cases with severe joint destruction or bone loss. In this case, bone transport and fusion procedures were performed to treat a patient with an open fracture involving total talar dislocation, talar bone loss, and distal tibial bone loss. Just as in this case, where the surrounding soft tissues remain healthy, limb salvage via segmental bone transport may be a reasonable option in fractures with massive bone loss that include joints. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.08.024DOI Listing
January 2019
2 Reads

Effects of Endoprosthesis Head Material on Acetabular Cartilage Metabolism: An Animal Study Using Crossbred Pigs.

J Nippon Med Sch 2018 ;85(6):309-314

Department of Orthopedic Surgery, Nippon Medical School.

Background: Hip endoprosthesis is one option for the treatment of displaced femoral neck fractures and avascular necrosis of the femoral head. Few reports are available describing acetabular cartilage metabolism after endoprosthesis surgery of the hip. The purpose of this study was to compare the biological effects on cartilage between cobalt-chrome (Co-Cr) and alumina ceramic heads wherein the cartilage articulates directly. Read More

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http://dx.doi.org/10.1272/jnms.JNMS.2018_85-50DOI Listing
January 2018
2 Reads

Avulsion fracture of anterior talofibular ligament from talus: A case report.

Foot (Edinb) 2018 Dec 5;38:24-29. Epub 2018 Dec 5.

Antalya Education and Research Hospital, Department of Orthopaedics and Traumatology, Antalya, Turkey. Electronic address:

Anterior talofibular ligament (ATFL) injuries can occur in three different distinct patterns; rupture of the ligament as a pure soft tissue injury, an avulsion fracture at the ATFL's attachment to the either fibula or talus. Although fibular avulsion fractures are common, avulsion fracture of ATFL from talus is extremely rare with a single previously reported case in current literature. A 34-year-old female with ATFL talar avulsion fracture associated with medial malleolar fracture was presented to ED. Read More

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http://dx.doi.org/10.1016/j.foot.2018.12.002DOI Listing
December 2018
2 Reads

Surgical treatment of lateral and posterior process fractures of the talus: Mid-term results of 15 cases after 7 years.

Foot Ankle Surg 2018 Nov 29. Epub 2018 Nov 29.

Department of Trauma Surgery, Otto-von-Guericke University, Leipziger Str. 44 Magdeburg, Germany.

Background: We retrospectively evaluated the mid-term results of surgery for talar process fractures (lateral and posterior processes) and exploratively analyzed parameters that potentially impact treatment outcomes.

Methods: Fifteen patients who underwent internal fixation (January 2000 to December 2015) were examined for radiological and clinical functional outcomes. The independent parameters evaluated were age, sex, extent of general injury, soft-tissue damage, surgical latency, and fracture type. Read More

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http://dx.doi.org/10.1016/j.fas.2018.11.013DOI Listing
November 2018
2 Reads

Definition of a safe zone for screw fixation of posterior talar process fracture by 3-dimensional technology.

Medicine (Baltimore) 2018 Dec;97(49):e13331

Department of Orthopaedic Surgery, The Affiliated Hospital of Medical School, Ningbo University.

Background: Percutaneous screw fixation can provide stable fixation with a minimally invasive surgical technique for posterior talar process fracture.

Objectives: The purpose of this study was to investigate the optimal posterior screw placement and the geometry of safe zone for screw insertion in the posterior talar process by analyzing with 3-dimensional (3D) technology.

Methods: 100 adult feet computed tomography (CT) scans were evaluated. Read More

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http://dx.doi.org/10.1097/MD.0000000000013331DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310495PMC
December 2018

Does routinely repairing deltoid ligament injuries in type B ankle joint fractures influence long term outcomes?

Injury 2018 Dec;49(12):2312-2317

Department of Orthopedic Trauma, Beijing Jishuitan Hospital, Beijing, 100035 China.

Deltoid ligament reconstruction following type B ankle fractures continues to generate a vivid discussion amongst trauma surgeons. There is a difference of opinion as to whether operative or non operative treatment should prevail. We therefore conducted a prospective comparative cohort study to determine whether it is necessary to routinely repair the injured deltoid ligaments. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383183065
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http://dx.doi.org/10.1016/j.injury.2018.11.006DOI Listing
December 2018
5 Reads

Deltoid Ligament Rupture in Ankle Fracture: Diagnosis and Management.

J Am Acad Orthop Surg 2018 Nov 20. Epub 2018 Nov 20.

From the Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL.

The last stage of a supination-external rotation ankle fracture involves either transverse fracture of the medial malleolus or rupture of the deltoid ligament. When the deltoid ligament ruptures, a "bimalleolar equivalent" ankle fracture occurs, and the surgeon is presented with several diagnostic and therapeutic challenges. In the native ankle, the deltoid ligament provides restraint to eversion and external rotation of the talus on the tibia. Read More

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http://dx.doi.org/10.5435/JAAOS-D-18-00198DOI Listing
November 2018
1 Read

Pathogenesis And Radiological Findings In Rare Case Of Salter Harris Type I Distal Tibial Fracture With Associated Osteonecrosis In The Paediatric Population.

J Ayub Med Coll Abbottabad 2018 Jul-Sep;30(3):463-467

SUNY Upstate Medical University, United States.

Salter-Harris type I fractures of the distal tibia are commonly seen in paediatrics and management of such fractures follows an algorithm established in the literature. Despite this, osteonecrosis of the distal tibia can subsequently develop. Osteonecrosis or avascular necrosis is cell death that occurs secondary to trauma, metabolic disturbances, sickle cell disease, or medication side effect. Read More

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January 2019
5 Reads

Three-Dimensional (3D) Computed Tomographic (CT) Assessment of the Sustentaculum Tail to Find Distinctive Characteristics: Implications for Surgery.

Med Sci Monit 2018 Nov 22;24:8417-8421. Epub 2018 Nov 22.

Department of Orthopedics, Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, Sichuan, China (mainland).

BACKGROUND With the complexity of calcaneal fracture (CF) increasing, its treatment has changed to include inserting the screw used to secure the facies articular posterior into the sustentaculum tail (ST). Some research progress has been made in this area, but there has been little in-depth research on the anatomical morphology of the sustentaculum tail, which is necessary for clinical surgery, and more information about Chinese anatomic characteristics and improved surgical techniques for CF are needed. MATERIAL AND METHODS This anatomical study, based on a three-dimensional (3D) computed tomographic (CT) reconstruction technique, included 287 dry calcaneus, consisting of 144 left and 143 right calcaneus. Read More

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http://dx.doi.org/10.12659/MSM.911534DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262903PMC
November 2018
16 Reads

Open Talus Fractures: Early Infection and Its Epidemiological Characteristics.

J Foot Ankle Surg 2019 Jan 15;58(1):103-108. Epub 2018 Nov 15.

Department of Orthopaedic Surgery, West China Hospital, Chengdu, Sichuan Province, China.

Open talus fractures are relatively rare and severe open injuries with a high risk of severe infection. To better understand the epidemiological characteristics of this kind of injury, a monocentric case review was conducted among open talus fracture patients admitted in West China Hospital of Sichuan University between January 2010 and December 2014. Fifty-one (N = 51) patients were recruited to the study, including 44 (86. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10672516183035
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http://dx.doi.org/10.1053/j.jfas.2018.08.020DOI Listing
January 2019
14 Reads
0.979 Impact Factor

Ankle Fracture Fixation: Medial or Lateral First?

J Foot Ankle Surg 2019 Jan 15;58(1):75-79. Epub 2018 Nov 15.

Medical Student, Department of Orthopedic Surgery, Doctors Hospital, Columbus, OH.

In unstable ankle fractures, the importance of reducing the lateral malleolus first to obtain an anatomic reduction of the talus is well established. Although this is a time-tested and common surgical approach, current surgical practice does not always follow the established dogma. Medial-first fixation may be a worthwhile alternative to lateral-first fixation in select instances. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.08.007DOI Listing
January 2019
11 Reads

Outcomes of midfoot and hindfoot fractures in multitrauma patients.

Injury 2018 Nov 12. Epub 2018 Nov 12.

Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia; Department of Orthopaedic Surgery, The Alfred Hospital, Melbourne, Australia.

Introduction: Multitrauma patients suffering hindfoot fractures, including calcaneal and talar fractures, often result in poor outcomes. However, less is known about the outcomes following midfoot fracture in the mutitrauma population. This study aims to describe the epidemiology of midfoot fractures in multitrauma patients and to compare the outcomes of midfoot and hindfoot fractures in this population. Read More

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http://dx.doi.org/10.1016/j.injury.2018.11.021DOI Listing
November 2018
13 Reads

Lateral Inverted Osteochondral Fracture of the Talus: Case Reports and Review of the Literature.

Acta Clin Croat 2018 Jun;57(2):377-382

Department of Orthopedic Surgery, Zagreb University Hospital Centre, Zagreb, Croatia.

Lateral inverted osteochondral fracture of the talus (LIFT) is a rare variant of stage IV osteochondral lesion of the talus (OLT), where the fragment is inverted in situ by 180°. The management of LIFT lesion is very challenging and early recognition crucial, given that treatment options depend on the articular cartilage condition and sufficiency of the adjacent bone of the displaced fragment. We describe two LIFT cases referred from other institutions after unsuccessful conservative treatment of OLT. Read More

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https://www.unboundmedicine.com/medline/research/Ankle_sprai
Web Search
https://hrcak.srce.hr/index.php?show=clanak&id_clanak_je
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http://dx.doi.org/10.20471/acc.2018.57.02.21DOI Listing
June 2018
9 Reads

A novel method using bone peg fixation for acute osteochondral fracture of the talus: a surgical technique.

Arch Orthop Trauma Surg 2019 Feb 11;139(2):197-202. Epub 2018 Nov 11.

Department of Orthopedic Surgery, Yeungnam University Medical Center, Hyeonchungno 170, Namgu, Daegu, 42415, Republic of Korea.

Introduction: The osteochondral fracture of the talus is an uncommon condition, therefore, there are controversies for the optimal treatment. We report a novel surgical technique of bone peg fixation for osteochondral fracture of the talus.

Materials And Methods: We report two cases that underwent bone peg fixation for the acute osteochondral fractures of talus. Read More

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http://dx.doi.org/10.1007/s00402-018-3066-yDOI Listing
February 2019
3 Reads

Minimally invasive internal fixation of calcaneal fractures or subtalar joint arthrodesis using the Calcanail®.

Oper Orthop Traumatol 2018 Nov 9. Epub 2018 Nov 9.

Klinik und Poliklinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsmedizin Rostock, Schillingallee 35, 18057, Rostock, Germany.

Objective: A minimally invasive technique to prevent soft tissue problems using a calcaneal nail (Calcanail®, FH Orthopedics, Heimsbrunn, France) for calcaneal fractures or in subtalar joint arthrodesis is described.

Indications: Displaced extra-articular calcaneal fractures involving the tuberosity fragment and in displaced intra-articular calcaneal fractures with impression and/or displacement of the subtalar joint surface. Subtalar joint arthrodesis for posttraumatic subtalar osteoarthritis. Read More

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http://dx.doi.org/10.1007/s00064-018-0576-2DOI Listing
November 2018
12 Reads

[Diagnosis and treatment for posterior ostrigonum of talus fracture:a case report].

Zhongguo Gu Shang 2018 Oct;31(10):962-964

Department of Foot and Ankle Surgery, Integration of Chinese and Western Hospital of Cangzhou, Cangzhou 061001, Hebei, China.

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http://dx.doi.org/10.3969/j.issn.1003-0034.2018.10.017DOI Listing
October 2018
2 Reads

[Preliminary finite element analysis of anterior inferior tibiofibular syndesmosis injuries treated with screw and tight-rope fixation].

Zhongguo Gu Shang 2018 Oct;31(10):937-943

Department of Orthopaedic Trauma, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning, China;

Objective: To establish finite element models of anterior inferior tibiofibular syndesmosis injuries (AITSI), screw fixation and Tight-rope(TR) fixation, and to compare its force and displacement, so as provide evidence for clinical diagnosis and treatment.

Methods: A three-dimensional model of a healthy ankle complex was developed by computed tomography (CT) images, and anterior inferior tibiofibular syndesmosis injuries(AITSI) model also established, then a screw was inserted into AITSI model to obtain a screw fixation model, and a Tight-rope system was put into AITSI model to obtain a TR model. Simulated loads were applied under three conditions:neutral position with single-foot standing, internal and external rotation of the ankle. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2018.10.012DOI Listing
October 2018
3 Reads

Association of Specific Lower Extremity Injuries With Delayed Amputation.

Mil Med 2018 Oct 27. Epub 2018 Oct 27.

Operational Readiness Directorate, Naval Health Research Center, 140 Sylvester Road, San Diego, CA.

Introduction: Despite medical interventions to preserve viability and functionality of injured limb(s) among combat-injured service members, delayed amputations may occur. The goal of this study was to determine whether specific lower extremity (LE) injuries were associated with delayed amputations.

Methods: The Expeditionary Medical Encounter Database was queried for combat-related LE injuries between 2003 and 2015. Read More

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http://dx.doi.org/10.1093/milmed/usy271DOI Listing
October 2018
2 Reads

Prevalence of Osteochondral Lesions in Rotational Type Ankle Fractures With Syndesmotic Injury.

Foot Ankle Int 2018 Oct 11:1071100718804818. Epub 2018 Oct 11.

1 Department of Orthopaedic Surgery, Flinders University, Adelaide, Australia.

Background: The aim of this study was to report the incidence of associated osteochondral lesions (OCLs) on postop CTs, which may benefit from arthroscopic treatment, in patients with rotational type ankle fractures with syndesmotic injury. The diagnosis and treatment of associated OCLs may be an additional benefit of the use of arthroscopy in the management of rotational type ankle fractures with syndesmotic injury.

Methods: We retrospectively reviewed data of a prospective cohort study of patients who underwent open reduction and surgical fixation of an ankle fracture with syndesmotic injury. Read More

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http://dx.doi.org/10.1177/1071100718804818DOI Listing
October 2018
7 Reads

Significance of Lateral Process Fractures Associated With Talar Neck and Body Fractures.

J Orthop Trauma 2018 Dec;32(12):601-606

Harborview Medical Center, Seattle, WA.

Objectives: To determine whether fracture of the lateral process (LP) elevates the risk of development of radiographic subtalar arthrosis in patients with talar body and neck fractures.

Design: Retrospective review.

Setting: Level 1 academic trauma center. Read More

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http://Insights.ovid.com/crossref?an=00005131-201812000-0000
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http://dx.doi.org/10.1097/BOT.0000000000001326DOI Listing
December 2018
1 Read

Bilateral Stress Fractures of the Talus Associated with Adult-Acquired Flatfoot Deformities.

Case Rep Orthop 2018 9;2018:5376384. Epub 2018 Sep 9.

Department of Rheumatology, JCHO Yugawara Hospital, 438 Miyakami, Yugawara, Ashigarashimo, Kanagawa 259-0396, Japan.

Adult-acquired flatfoot deformity is a progressive flattening of the arch of the foot that results from posterior tibial tendon insufficiency with a predilection for middle-aged women. A lateralized force vector associated with hindfoot valgus in adult-acquired flatfoot produces lateral ankle pain due to impingement at the lateral hindfoot, which can even lead to stress fractures of the distal fibula. Here, we present the rare case of a 73-year-old woman who presented with stress fractures of the bilateral taluses and unilateral distal fibula accompanied by severe adult-acquired flatfoot deformities. Read More

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https://www.hindawi.com/journals/crior/2018/5376384/
Publisher Site
http://dx.doi.org/10.1155/2018/5376384DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6151209PMC
September 2018
11 Reads

Lower Bone Density on Preoperative Computed Tomography Predicts Periprosthetic Fracture Risk in Total Ankle Arthroplasty.

Foot Ankle Int 2018 Sep 29:1071100718799102. Epub 2018 Sep 29.

3 Orthopaedic Surgery, Duke University Medical Center, Durham, NC, USA.

Background: The effect of bone mineral density (BMD) on outcomes from total ankle arthroplasty (TAA) has not been studied. BMD can be estimated by measuring Hounsfield units (HU) on standard computed tomography (CT), which is frequently performed prior to TAA. We aimed to identify whether tibial and talar HU measured from preoperative CT scans were associated with periprosthetic fracture or revision risk in patients undergoing TAA. Read More

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http://dx.doi.org/10.1177/1071100718799102DOI Listing
September 2018
2 Reads

The Results of Physical, Radiologic, Pedabarographic, and Quality-of-Life Assessments in Patients with Surgically Treated Intraarticular Calcaneus Fractures.

J Foot Ankle Surg 2018 Nov - Dec;57(6):1172-1180. Epub 2018 Sep 22.

Associate Professor, Department of Orthopaedics and Traumatology, Dr Lutfi Kırdar Kartal Education and Research Hospital, Istanbul, Turkey.

Calcaneal fractures are complex injuries and have historically had a poor prognosis that results in substantial disability. However, no studies have been performed that analyze both the radiographic and plantar pressure changes after treatment of intraarticular calcaneus fracture. Patients with an intrarticular calcaneus fracture treated at our institution during the study period were identified from computerized hospital records. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.06.009DOI Listing
September 2018
2 Reads

Preliminary results using patient-specific 3d printed models to improve preoperative planning for correction of post-traumatic tibial deformities with circular frames.

Injury 2018 Sep;49 Suppl 2:S51-S59

Orthopaedic Research Center of Australia, Brisbane, Australia; Department of Orthopaedic Surgery, University of Texas Health Science Center San Antonio, TX, USA.

Background: Preoperative planning for circular external fixators is considered vital towards achieving the best results for complex post-traumatic tibial deformities, and patient-specific 3D printed (3DP) models were used here as a planning aid. The main goal was to investigate the fidelity of the preoperative planning process, by assessing the potential to reduce operative time and determining the need to adjust pre-constructed frames intra-operatively.

Patients And Methods: Nine patients (10 limbs) underwent treatment for post-traumatic tibial complications using circular external fixation. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383183037
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http://dx.doi.org/10.1016/j.injury.2018.07.017DOI Listing
September 2018
8 Reads
2.140 Impact Factor

Ankle joint dislocation treating dislocated trimalleolar fractures accompanied with the complex posterior malleolus fracture without separation of the tibiofibular syndesmosis.

Medicine (Baltimore) 2018 Sep;97(37):e12079

Department of Orthopaedics, Hebei Medical University Third Affiliated Hospital.

To explore the therapy of ankle joint dislocation treating dislocated trimalleolar fractures accompanied with the complex posterior malleolus fracture without separation of the tibiofibular syndesmosis and improve surgical results.Patients who had dislocated trimalleolar fractures accompanied with the complex posterior malleolus fracture without separation of the tibiofibular syndesmosis were retrospectively analyzed and 30 patients were enrolled the study. They were all treated by ankle joint dislocation and the surgical results were evaluated by the Baird-Jackson ankle scoring system. Read More

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http://dx.doi.org/10.1097/MD.0000000000012079DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6156007PMC
September 2018
16 Reads

Adolescent talus body fracture with high displacement: A case report.

Medicine (Baltimore) 2018 Aug;97(35):e12043

Rationale: Talus fracture is relatively rare in adults. Furthermore, talus fracture in pediatric population is rarer than in adult population. Although undisplaced talus fractures can be treated conservatively, most of talus fractures with displacement require surgical treatment in both pediatric and adult patients. Read More

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http://dx.doi.org/10.1097/MD.0000000000012043DOI Listing
August 2018
5 Reads

Importance of Computed Tomography (CT) in Talar Neck Fractures. Case Studies.

Ortop Traumatol Rehabil 2018 Feb;20(1):31-42

Samodzielny Publiczny Wojewódzki Szpital Chirurgii Urazowej im. Dra Janusza Daaba w Piekarach Śląskich / District Hospital of Orthopaedics and Trauma Surgery in PiekaryŚląskie, Piekary Śląskie, Poland.

Computed tomography is a modern technique producing high quality image of scanned organs. It plays a significant role in diagnostic work-up on orthopedics wards. This paper presents an analysis of management of two cases of Hawkins type I talar neck fracture with ankle joint rotation. Read More

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https://ortopedia.com.pl/gicid/01.3001.0011.5842
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http://dx.doi.org/10.5604/01.3001.0011.5842DOI Listing
February 2018
15 Reads

Long-Term Outcome After Operative Management of Talus Fractures.

Foot Ankle Int 2018 Dec 22;39(12):1432-1443. Epub 2018 Aug 22.

1 Department of Trauma Surgery, University Hospitals Leuven, Leuven, Belgium.

Background:: Controversies remain regarding the preferred treatment strategy for talus fractures. The primary goal of this study was to evaluate the long-term outcome after operative management of talus fractures. Secondarily, we identified those factors that affected the outcome and defined strategies to improve the outcome. Read More

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http://dx.doi.org/10.1177/1071100718790242DOI Listing
December 2018
3 Reads

Atraumatic Insufficiency Fractures of the Tarsal Bones - An Unusual Cause of Recurrent Heel Pain in a Patient with Rheumatoid Arthritis: A Case Report.

Authors:
A Rajeev

Malays Orthop J 2018 Jul;12(2):59-61

Department of Orthopaedics, Gateshead Health NHS Foundation Trust, Gateshead, United Kingdom.

The incidence of insufficiency fractures is approximately 1% in rheumatoid arthritis patients. The predisposing factors are chronic inflammation, skeletal deformities, biomechanical stresses and osteoporosis. The medications used in the treatment of rheumatoid arthritis such as Glucocorticosteroids and Methotrexate also contribute to the development of osteoporosis and insufficiency fractures. Read More

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http://dx.doi.org/10.5704/MOJ.1807.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6092536PMC
July 2018
9 Reads

Bilateral Talus and Navicular Fractures accompanied with Unilateral Calcaneal Fracture: A Case Report.

Malays Orthop J 2018 Jul;12(2):47-51

Department of Orthopaedics, Dr Lutfi Kirdar Kartal Training and Research Hospital, Istanbul, Turkey.

An 18-year old male patient, with a history of paragliding accident, sustaining a coronal shear fracture of the body of the talus, an anterior process fracture of the calcaneus extending to the calcaneocuboid joint and a nondisplaced navicular body fracture at the right foot and a displaced fracture of the navicular body accompanied with posteromedial process fracture of the talus at the left side was referred to our emergency clinic. For the right foot, the coronal plane fracture of the talar body was anatomically reduced and fixed with screws. For the left foot, screw fixation was performed through the lateral aspect to fix the large posteromedial fragment. Read More

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http://dx.doi.org/10.5704/MOJ.1807.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6092534PMC
July 2018
3 Reads

Leland G. Hawkins, MD-His Life and Orthopaedic Legacy: Talus Fractures and the Hawkins Classification.

Iowa Orthop J 2018 ;38:1-8

University of Iowa Hospitals and Clinics Department of Orthopedics and Rehabilitation 200 Hawkins Drive Iowa City, IA 52242.

The long history of excellence and continued success of the University of Iowa Department of Orthopedics and Rehabilitation is due to the dedication and talent of generations of faculty, residents and staff. Many former Iowa Orthopedic residents have made significant contributions and become leaders in Orthopedic surgery. An orthopedic surgeon and scholar with roots at the University of Iowa deserving of tribute is Dr. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6047388PMC
December 2018
3 Reads

Fractures of the Lateral Process of the Talus.

Foot Ankle Clin 2018 Sep;23(3):375-395

Departement of Surgery, Kantonsspital Graubünden, Loëstrasse 170, Chur 7000, Switzerland. Electronic address:

Lateral talar process fractures (LTPF) are uncommon injuries but have become more relevant with snowboarding. Currently the fractures are classified according to McCrory-Bladin into 3 types, with advice for treatment that is not ideal anymore. This article proposes modifying the existing classification by differentiating the multifragmented type III into 3 subtypes: IIIa, articular multifragmented but metaphyseal simple; IIIb, articular and metaphyseal multifragmented but reconstructable; and type IIIc, comminuted and nonreconstructable. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.04.009DOI Listing
September 2018
2 Reads

Traumatic Injury to the Subtalar Joint.

Foot Ankle Clin 2018 Sep;23(3):353-374

Department of Orthopedic Surgery, Kyungpook National University Hospital, 130 Dongdeok-ro, Jung-gu, Daegu 41944, Korea.

Traumatic injury to the subtalar joint occurs during subtalar dislocations, talar and calcaneal fractures, and fracture-dislocations. After closed reduction of subtalar dislocations, peripheral talar or calcaneal fractures need to be ruled out by computed tomography scanning. In fractures and fracture-dislocations of the talus and calcaneus involving the subtalar joint, anatomic reconstruction of joint congruity is essential for functional rehabilitation. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.04.004DOI Listing
September 2018
2 Reads

Timing of initiating manual therapy and therapeutic exercises in the management of patients after hindfoot fractures: a randomized controlled trial.

J Man Manip Ther 2018 Jul 12;26(3):147-156. Epub 2018 Feb 12.

Department of Physical Therapy, College of Health, University of Utah, Salt Lake City, UT, USA.

Study Design: Randomized clinical trial.

Background: Patients with fractures to the talus and calcaneus report decreased functional outcomes and develop long-term functional limitations. Although physical therapy is typically not initiated until six weeks after fixation, there's little research on the optimal time to initiate a formal physical therapy program. Read More

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http://dx.doi.org/10.1080/10669817.2018.1432542DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6055963PMC
July 2018
3 Reads

Extra-articular Medial Impression Fracture of the Talus: A Previously Undescribed Injury.

Foot Ankle Spec 2018 Jul 1:1938640018788431. Epub 2018 Jul 1.

Trauma Unit, Academic Medical Center, Amsterdam, Netherlands.

Background: Peripheral fractures of the talus are uncommon. Almost all the literature regarding talar fractures consists of central intra-articular fractures, whereas studies about peripheral talar fractures are lacking. The aim of this study is to increase awareness in diagnosing an unusual peripheral extra-articular medial impression fracture of the talus. Read More

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http://dx.doi.org/10.1177/1938640018788431DOI Listing
July 2018
17 Reads

Ankle Spanning External Fixator Application.

J Orthop Trauma 2018 Aug;32 Suppl 1:S40-S41

Department of Orthopaedic Surgery, Washington University in Saint Louis, St. Louis, MO.

A 2-stage approach to treatment of tibia pilon fractures was reported in the 1990s and popularized over the ensuing decade to help avoid catastrophic soft-tissue complications experienced with one-stage open reduction and internal fixation. This approach can be expanded to the treatment of other high-energy injuries of the hind foot, with variation in external fixator application as needed. Key factors to maximize the utility and decrease complications of the external fixation stage include the following: (1) anatomic reduction of the talus under the long axis of the tibia in the coronal and sagittal planes, (2) strategic application of Schantz pins to resist deforming forces resulting from the injury, and (3) external fixation outside the zone of injury and definitive surgical treatment. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001210DOI Listing
August 2018
2 Reads

[Fractures of the lateral process of the talus-snowboarder's ankle].

Unfallchirurg 2018 Sep;121(9):715-722

Zentrum für Fuß- und Sprunggelenkchirurgie, Schön Klinik München Harlaching, Harlachinger Str. 51, 81547, München, Deutschland.

Fractures of the lateral tubercle of the talus (PLT) are rare. With the increasing popularity of the trend sport snowboarding, the incidence of PLT fractures has increased. The most common classification of PLT fractures is the Hawkins classification. Read More

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http://dx.doi.org/10.1007/s00113-018-0519-2DOI Listing
September 2018
2 Reads

Surgical Treatment of Posteromedial Talus Fractures: Technique Description and Results of 10 Cases.

Indian J Orthop 2018 May-Jun;52(3):269-275

Department of Orthopedics and Sports Medicine, Harborview Medical Center, University of Washington, Seattle, WA, USA.

Background: The aim of this study is to describe a surgical technique for successful treatment of posteromedial talar body fractures and establish treatment recommendations for fractures of the posterior aspect of the talus.

Materials And Methods: Ten patients treated operatively for a posteromedial talar body fractures entering both the subtalar and ankle articulations with a minimum of 1-year followup were identified from a trauma database. Age, mechanism of injury, associated injuries, time to surgery, complications, the range of motion, secondary procedures, and need for arthrodesis were evaluated. Read More

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http://dx.doi.org/10.4103/ortho.IJOrtho_646_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5961264PMC
June 2018
3 Reads

Management of Talar Body Fractures.

Indian J Orthop 2018 May-Jun;52(3):258-268

Department of Orthopaedics, Ganga Hospital, Coimbatore, Tamil Nadu, India.

Fractures of talar body are uncommon injuries often associated with fractures of other long bones and in polytraumatized patients. The integrity of the talus is essential for the normal function of the ankle, subtalar, and midtarsal joints. The relative infrequency of this injury limits the number of studies available to guide treatment. Read More

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http://www.ijoonline.com/text.asp?2018/52/3/258/231959
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http://dx.doi.org/10.4103/ortho.IJOrtho_563_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5961263PMC
June 2018
19 Reads

Plate Fixation of Talus Fractures: Where, When, and How?

Indian J Orthop 2018 May-Jun;52(3):253-257

Department of Orthopedic Surgery, University of New England College of Osteopathic Medicine, Biddeford, ME, USA.

Talus fractures are rare orthopedic injuries. Surgical fixation is challenging for treating surgeons. The clear majority of fractures require operative treatment. Read More

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http://www.ijoonline.com/text.asp?2018/52/3/253/231964
Publisher Site
http://dx.doi.org/10.4103/ortho.IJOrtho_645_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5961262PMC
June 2018
2 Reads

Radiological indicator of reduction adequacy during ankle syndesmosis surgery: A computational cadaveric study.

Injury 2018 Aug 4;49(8):1491-1496. Epub 2018 Jun 4.

Department of Orthopaedic surgery, Gyeongsang National University, College of Medicine, Gyeongsang National University Changwon Hospital, 11, Samjeongja-ro, Seongsan-gu, Changwon-si, Gyeongsangnam-do, 51472, Republic of Korea. Electronic address:

Purpose: We introduced the intraoperative radiological indicator to assess the reduction adequacy without additional procedure or instrument, and propose the optimal syndesmotic screw trajectory.

Methods: Thirty adult cadavers (15 males and 15 females) without ankle problems were enrolled and subjected to continuous 0.75 mm-slice computed tomography (CT) scans. Read More

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http://dx.doi.org/10.1016/j.injury.2018.06.004DOI Listing
August 2018
4 Reads

Soft Tissue Structures at Risk With Percutaneous Posterior to Anterior Screw Fixation of the Talar Neck.

Foot Ankle Int 2018 Oct 2;39(10):1237-1241. Epub 2018 Jun 2.

1 Department of Orthopaedics, Foot and Ankle, Hospital for Special Surgery, New York, NY, USA.

Background: Fractures of the talar neck and body can be fixed with percutaneously placed screws directed from anterior to posterior or posterior to anterior. The latter has been found to be biomechanically and anatomically superior. Percutaneous guidewire and screw placement poses anatomic risks for posterolateral and posteromedial neurovascular and tendinous structures. Read More

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http://dx.doi.org/10.1177/1071100718777771DOI Listing
October 2018
17 Reads