Acute Arthrodesis of Ipsilateral Pilon and Talus Fracture

2021 ◽  
Vol 11 (2) ◽  
Author(s):  
Drew Sanders
Keyword(s):  
Talus Fracture

Ipsilateral Fractures of the Talus and Calcaneus

1996 ◽  
Vol 17 (11) ◽  
pp. 701-705 ◽  
Author(s):  
Paul Gregory ◽  
Thomas DiPasquale ◽  
Dolfi Herscovici ◽  
Roy Sanders
Keyword(s):  
Standard Treatment ◽  
Talus Fracture ◽  
Treatment Regimens ◽  
Combined Injury ◽  
Joint Surfaces ◽  
Articular Damage ◽  
Talar Fractures ◽  
Level I ◽  
Both Bones

Nine ipsilateral fractures of the talus and calcaneus were treated at Tampa General Hospital between 1991 and 1994 and entered into the trauma registry of this level I trauma center. During this same period, a total of 78 talar fractures and 334 calcaneal fractures were entered into the registry. The patients who sustained this rare combined injury were studied retrospectively to characterize the fractures that occurred, examine the treatments instituted, and determine outcomes. Four patients had severe intra-articular damage of the subtalar joint surfaces and underwent either primary or delayed arthrodesis. This subgroup of patients was followed for an average of 39 months (range, 25–45 months), and all had excellent or good outcome as assessed by the Maryland Foot Score. Three patients had nondisplaced or avulsion-type fractures of both bones, which were treated with immobilization. These all healed well. One patient had a Hawkins type 2 talus fracture with an extra-articular avulsion fracture of the Achilles tendon. This patient did well with open reduction and internal fixation of both fractures. The final patient had a crushed lower extremity in association with her hindfoot injury, which resulted in primary below-knee amputation. In general, we believe each individual fracture in this combined injury can be addressed with standard treatment regimens.

scholarly journals Paediatric Salter-Harris type IV injury of distal tibia with talus fracture

2017 ◽  
pp. bcr-2017-222226
Author(s):  
Swapnil Kothadia ◽  
Umesh Birole ◽  
Ashish Ranade
Keyword(s):  
Distal Tibia ◽  
Talus Fracture ◽  
Type Iv ◽  
Salter Harris

Entire Posterior Process Talus Fracture: A Report of Two Cases

2012 ◽  
Vol 51 (3) ◽  
pp. 326-329 ◽  
Author(s):  
Saeed Reza Mehrpour ◽  
Mohamad Reza Aghamirsalim ◽  
Mahlisha Kazemi Sheshvan ◽  
Reza Sorbi
Keyword(s):  
Talus Fracture ◽  
Posterior Process

Snowboarder's Talus Fracture

2005 ◽  
Vol 33 (6) ◽  
pp. 871-880 ◽  
Author(s):  
Victor Valderrabano ◽  
Thomas Perren ◽  
Christian Ryf ◽  
Paavo Rillmann ◽  
Beat Hintermann
Keyword(s):  
Surgical Treatment ◽  
Subtalar Joint ◽  
External Rotation ◽  
Sport Activity ◽  
Treatment Algorithm ◽  
Activity Level ◽  
Talus Fracture ◽  
Level Of Evidence ◽  
Lateral Process

Background Fracture of the lateral process of the talus is a typical snowboarding injury. Basic data are limited, particularly with respect to treatment and outcome. Hypothesis As the axial-loaded dorsiflexed foot becomes externally rotated and/or everted, fracture of the lateral process of the talus occurs. Primary surgical treatment may improve the outcome of this injury, reducing the risk of secondary subtalar joint osteoarthritis. Study Design Cohort study; Level of evidence, 2. Methods We recorded details of the treatment and evaluation of 20 patients (8 female and 12 male; age at trauma, 29 years [range, 17-48 years]) who sustained a lateral process of the talus fracture while snowboarding. The injury pathomechanism was documented. The patients were treated either nonsurgically or surgically based on a fracture-type treatment algorithm. The evaluation at most recent follow-up (mean, 42 months [range, 26-53 months]) included clinical and functional examination, follow-up of sport activity, and radiological assessment (radiograph, computed tomography scan). Results The injury mechanism included axial impact (100%), dorsiflexion (95%), external rotation (80%), and eversion (45%). Using the American Orthopaedic Foot and Ankle Society hindfoot score, the patients obtained a mean of 93 points; the surgically treated group (n = 14) scored higher (97 points) than did the nonoperative group (n = 6; 85 points) (P <. 05). Degenerative disease of the subtalar joint was found in 3 patients (15%; operative, 1 patient; nonoperative, 2 patients). All but 4 (20%, all after nonsurgical treatment) patients reached the same sport activity level as before injury. Conclusion The snowboarding-related lateral process of the talus fracture represents a complex hindfoot injury. In type II fractures, primary surgical treatment has led to achieving better outcomes, reducing sequelae, and allowing patients to regain the same sports activity level as before injury.

A Comprehensive Nonoperative Rehabilitation Program Including Blood Flow Restriction for a Talus Fracture in a Professional Hockey Player: A Case Report

2020 ◽  
Vol 25 (3) ◽  
pp. 121-130
Author(s):  
Stephanie Di Lemme ◽  
Jon Sanderson ◽  
Richard G. Celebrini ◽  
Geoffrey C. Dover
Keyword(s):  
Blood Flow ◽  
Rehabilitation Program ◽  
Blood Flow Restriction ◽  
Talus Fracture ◽  
Flow Restriction ◽  
Hockey Player ◽  
First Case ◽  
Fracture Management ◽  
Professional Hockey ◽  
And Function

A 22-year-old male professional hockey player sustained a nondisplaced talus fracture. We present a comprehensive nonsurgical rehabilitation that includes blood flow restriction (BFR) training. Pain and function measures improved throughout the rehabilitation. Lower limb circumference did not change postinjury. The patient returned to play in less than 7 weeks, while current talar fracture management protocols indicate surgical fixation and 6 weeks of immobilization. BFR training may be useful in injury rehabilitation, negating muscle atrophy and increasing muscle strength while allowing the patient to exercise at relatively low loads. This is the first case of BFR training implemented in early fracture rehabilitation of an athlete.

scholarly journals Bilateral talus fracture dislocation: is avascular necrosis inevitable?

2014 ◽  
Vol 2014 (aug24 1) ◽  
pp. bcr2014205367-bcr2014205367 ◽  
Author(s):  
G. Balaji G ◽  
J. Arockiaraj
Keyword(s):  
Avascular Necrosis ◽  
Fracture Dislocation ◽  
Talus Fracture

Checkrein Deformity Secondary to Entrapment of FHL After Talus Fracture: A Case Report

2010 ◽  
Vol 31 (4) ◽  
pp. 336-338 ◽  
Author(s):  
Sei Hyun Kim ◽  
Kyung Tae Lee ◽  
Ronald W. Smith ◽  
Young-Uk Park
Keyword(s):  
Case Report ◽  
Talus Fracture

Talus Fracture Accompanied by Irreducible Dislocation of Talar Trochlea – Treatment Strategy

2020 ◽  
Vol 22 (1) ◽  
pp. 55-61
Author(s):  
Jan Poszepczyński ◽  
Krzysztof Andrzejewski ◽  
Robert Rokicki ◽  
Michał Krzymiński( ◽  
Radosław Grabowski ◽  
...  
Keyword(s):  
Soft Tissues ◽  
Fracture Morphology ◽  
High Energy ◽  
Crucial Importance ◽  
Talus Fracture ◽  
Accurate Analysis ◽  
Permanent Disability ◽  
Invasive Method ◽  
Therapeutic Problem ◽  
Immediate Surgery

A talus fracture accompanied by trochlear dislocation is an ever-present therapeutic problem as it requires immediate surgery since any delay may result in necrosis of soft tissues and the talus, which, consequently, leads to permanent disability. Of crucial importance in the treatment of such injury is accurate analysis of fracture morphology, immediate institution of treatment and minimally invasive surgery allowing early movement of the affected limb. We operated on a male patient after a high-energy injury using a low-invasive method we had modified, which allowed for early kinesiotherapy. The functional outcome of the procedure was very good.

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