Management of Talar Nonunion With Extensive AVN of the Talar Dome by Resection of Talar Dome, Autograft and Hindfoot Nail:

Foot & Ankle Orthopaedics

Mohamed M.Abd-Ella¹ 

关键词: Talar nonunion;    talar avascular necrosis;    hindfoot nail;    ankle arthrodesis;   

DOI  :  10.1177/2473011416S00219

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:AnkleIntroduction/Purpose:Extensive avascular necrosis (AVN) and non union are common complications after talar neck fractures especially Hawkin’s grades 3 and 4 and cases associated with comminution of the talar body. When both complications occur together, there is instability due to non union and talar collapse, arthritis of both ankle and subtalar joints, and hindfoot deformity in some cases in the form of varus or equines. The aim in these cases is to get a plantigrade stable painless foot, which requires ankle and subtalar fusion as well as union between the anterior talus and the hindfoot, with no or minimal limb shortening. The purpose is to assess the technique of removing all avascular bone followed by autograft and hindfoot nail to achieve this aim.Methods:The study included eight patients, five males and three females with non union of talar neck fractures associated with extensive avascular necrosis of talar dome as a consequence of trauma. The operative technique includes posterior ...

【 授权许可】

CC BY