Fractures of the Talus: Current Concepts

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Abstract

Talus fractures continue to represent a challenging and commonly encountered group of injuries. Its near-complete articular cartilage surface, and its role in force transmission between the leg and foot, makes successful treatment of such injuries a mandatory prerequisite to regained function. Familiarity with the complex bony, vascular, and neurologic anatomy is crucial for understanding diagnostic findings, treatment indications, and surgical techniques to maximize the likelihood of anatomic bony union. This review details the structure and function of the talus, a proper diagnostic workup, the treatment algorithm, and post-treatment course in the management of talus fractures.

Level of Evidence:

Level V, expert opinion.

Related collections

Most cited references 62

Record: found
Abstract: not found
Article: not found

Fractures of the neck of the talus.

Michelle Hawkins (1970)

0 comments Cited 59 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Fractures of the neck of the talus. Long-term evaluation of seventy-one cases.

S T Canale, Jeffrey F. Kelly (1978)

Seventy-one fractures through the neck of the talus were clinically evaluated and classified on the basis of roentgenographic appearance. The follow-up interval averaged 12.7 years. Good or excellent results were achieved in 59 per cent of the fractures. Accurate anatomical reduction of displaced fractures, if necessary by open reduction and internal fixation, is recommended. Avascular necrosis of the talar body occurred in 52 per cent of the fractures (in two of thirteen non-displaced fractures, in half of the fractures with subluxation or dislocation of the subtalar joint, and in sixteen of nineteen fractures with complete dislocation of the body of the talus). Many patients with avascular necrosis treated conservatively had satisfactory results. The complications of avascular necrosis, malunion, subtalar arthritis, and infection required twenty-five secondary procedures. Triple arthrodesis, tibiocalcaneal fusion, and dorsal beak resection of the talar neck all resulted in a high percentage of satisfactory results, but talectomy did not.

0 comments Cited 47 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Epidemiology of foot and ankle fractures in the United States: an analysis of the National Trauma Data Bank (2007 to 2011).

Naohiro Shibuya, Daniel Jupiter, Matthew L. Davis (2014)

Understanding the epidemiology of foot and ankle trauma could be useful in health services research and for policy makers. It can also define practice patterns. Using the National Trauma Data Bank data set from 2007 to 2011, we analyzed the frequency and proportion of each fracture in the foot and ankle in major trauma hospitals in the United States. A total of 280,933 foot and/or ankle fractures or dislocations were identified. Although oversampling of more severe trauma in younger patients might have occurred owing to the nature of the data set, we found that the most common fractures in the foot and ankle were ankle fractures. Midfoot fractures were the least common among all the foot and ankle fractures when categorized by anatomic location. Approximately 20% of all foot and ankle fractures were open.

0 comments Cited 43 times – based on 0 reviews      Review now

Bookmark

All references

Author and article information

Journal

Journal ID (nlm-ta): Foot Ankle Orthop

Journal ID (iso-abbrev): Foot Ankle Orthop

Journal ID (publisher-id): FAO

Journal ID (hwp): spfao

Title: Foot & Ankle Orthopaedics

Publisher: SAGE Publications (Sage CA: Los Angeles, CA )

ISSN (Electronic): 2473-0114

Publication date (Electronic): 13 February 2020

Publication date Collection: January 2020

Volume: 5

Issue: 1

Electronic Location Identifier: 2473011419900766

Affiliations

[1 ]Department of Orthopedics, Emory University School of Medicine, Atlanta, GA, USA

[2 ]Department of Orthopaedic Surgery, University of California-Irvine, Orange, CA, USA

Author notes

[*]Andrew M. Schwartz, MD, Department of Orthopedics, Emory University School of Medicine, 59 Executive Park South, Suite 2000, Atlanta, GA 30329, USA. Email: amschw3@ 123456emory.edu

Author information

Andrew M. Schwartz https://orcid.org/0000-0001-7128-0458

Andrew R. Hsu https://orcid.org/0000-0001-5274-5782

Article

Publisher ID: 10.1177_2473011419900766

DOI: 10.1177/2473011419900766

PMC ID: 8697161

PubMed ID: 35097362

SO-VID: a2a10327-f2c7-4ed0-bcf9-37fe0f566c48

License:

This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

History

Custom metadata

cover-date January-March 2020

typesetter ts3

Keywords: talus fractures,hindfoot trauma,avascular necrosis,avn,post-traumatic arthritis

Data availability:

Keywords: talus fractures, hindfoot trauma, avascular necrosis, avn, post-traumatic arthritis

Fractures of the Talus: Current Concepts

Read this article at

Abstract

Level of Evidence:

Related collections

Claudins

Most cited references 62

Fractures of the neck of the talus.

Fractures of the neck of the talus. Long-term evaluation of seventy-one cases.

Epidemiology of foot and ankle fractures in the United States: an analysis of the National Trauma Data Bank (2007 to 2011).

Author and article information

Journal

Affiliations

Author notes

Author information

Article

History

Categories

Custom metadata

Comments

Comment on this article

Similar content 1,115

Cited by 8

Most referenced authors 484