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Introduction Risks for the future are a source of concern for any trauma patient and are included in the settlement of personal injury claims. In the case of ankle fractures, this mainly concerns the risk of osteoarthritis and the resulting
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talus (TTS). In 2008, Hayashi et al 40 used the same radiographic technique to assess ankles suffering from primary varus osteoarthritis and added the angle between the talar dome and the posterior joint facet of the calcaneus (subtalar inclination
Department of Surgery, Universidad de La Laguna, Tenerife, Spain
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University of Basel, Basel, Switzerland
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Department of Orthopedic and Rehabilitation, University of Iowa, Iowa, USA
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Department of Surgery, Universidad de La Laguna, Tenerife, Spain
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Department of Surgery, Universidad de Sevilla, Sevilla, Spain
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Introduction Ankle osteoarthritis (OA) is a chronic disease affecting approximately 1% of the world population, with an estimated incidence of 30 cases per 100 000 inhabitants, and corresponds to between 2 and 4% of all patients with general
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Introduction Osteoarthritis (OA) of the ankle occurs in approximately 1% of the population, and the majority of patients have developed secondary arthritis due to fractures around the ankle joint. 1 Primary degenerative arthritis, with no
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years). Osteoarthritis (92.8%) was the most common indication for ankle arthroplasty, followed by rheumatoid arthritis (5.5%). The Salto Talaris was the most commonly used prosthesis for ankle arthroplasty. The cumulative percentage revision at five
Nisantasi Ortopedi Merkezi, Hakkı Yeten Cad., Unimed Center, No:19, 34365 Fulya, Istanbul, Turkey
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Nisantasi Ortopedi Merkezi, Hakkı Yeten Cad., Unimed Center, No:19, 34365 Fulya, Istanbul, Turkey
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technique increasingly used for the treatment of hindfoot pathologies. 1 Posterior ankle impingement syndrome, flexor hallucis longus (FHL) tendon problems, osteochondral lesions, subtalar coalitions, osteoarthritis, talar bone cysts, talar fractures
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addressed in terms of mechanisms, minimum time before implant removal, and superiority compared with other surgical solutions and between implants. Additionally, some concerns about long-term results and complications (osteoarthritis) are crucial in a
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osteoarthritis hallux rigidus is the most common arthritic condition in the foot. Progression of great toe arthritis is associated with pain and loss of motion. Non-surgical intervention begins with shoe modifications and orthotics designed to limit MTP motion
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-button patients with less osteoarthritis 50 , 51 and with fewer complications and reoperations. 52 A recent meta-analysis on biomechanical comparison between fixation options shows superior strength for screw fixation but similar load and rotation to
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Fractures of the lateral and the posterior processes of the talus are uncommon and frequently missed because of a low level of suspicion and difficulty in interpretation on plain radiographs. Missed fractures can lead to persistent pain and reduced function.
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Lateral process fractures are usually a consequence of forced dorsiflexion and inversion of fixed pronated foot. These are also commonly known as snowboarder’s fractures.
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The posterior process of the talus is composed of medial and lateral tubercles, separated by the groove for the flexor hallucis longus tendon.
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The usual mechanism of injury is forced hyperplantarflexion and inversion causing direct compression of the posterior talus, or an avulsion fracture caused by the posterior talofibular ligament. CT scans are helpful in cases of high clinical suspicion.
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There is a lack of consensus regarding optimal management of these fractures; however, management depends on the size, location and displacement of the fragment, the degree of cartilage damage and instability of the subtalar joint. Non-operative treatment includes immobilization and protected weight-bearing for six weeks. Surgical treatment includes open reduction and internal fixation or excision of the fragments, depending on the size.
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Fractures of the lateral and the posterior processes of the talus are uncommon but important injuries that may result in significant disability in cases of missed diagnosis or delayed or inadequate treatment. Early diagnosis and timely management of these fractures help to avoid long-term complications, including malunion, nonunion or severe subtalar joint osteoarthritis.
Cite this article: EFORT Open Rev 2018;3:85-92. DOI: 10.1302/2058-5241.3.170040
