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Fractures of the talus: Current concepts and new developments.
- Source :
-
Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons [Foot Ankle Surg] 2018 Aug; Vol. 24 (4), pp. 282-290. Date of Electronic Publication: 2017 Apr 24. - Publication Year :
- 2018
-
Abstract
- Fractures of the talus are challenging to manage, with historically poor outcomes and a high rate of complications. The rare nature of this injury limits the number of studies available to guide treatment. Fortunately, a number of advancements have been made in the last decade. There is increased recognition regarding the importance of anatomic reconstruction of the osseous injury. Advanced imaging is used to assess the subtalar joint, where even slight displacement may predispose to arthritis. Increasing use of dual anteromedial and anterolateral approaches, along with plate fixation, has improved our ability to accurately restore the anatomy of the talus. Modification of the original Hawkins classification can both guide treatment and allow us to better predict which patients will develop avascular necrosis. Lastly, improved reconstructive techniques help address the most common complications after talus fracture, including arthritis, avascular necrosis, and malunion.<br /> (Copyright © 2017 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.)
- Subjects :
- Bone Plates
Fracture Fixation, Internal trends
Fractures, Bone classification
Fractures, Bone diagnostic imaging
Humans
Osteonecrosis etiology
Talus anatomy & histology
Talus diagnostic imaging
Tomography, X-Ray Computed
Fracture Fixation, Internal methods
Fractures, Bone surgery
Talus injuries
Talus surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1460-9584
- Volume :
- 24
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons
- Publication Type :
- Academic Journal
- Accession number :
- 29409210
- Full Text :
- https://doi.org/10.1016/j.fas.2017.04.008