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At least 937 records · Page 52Linked to original sources
PubMed1980

Blair tibiotalar arthrodesis for injuries to the talus.

A retrospective clinical and roentgenographic study was done of seven patients who underwent Blair tibiotalar arthrodesis. The average age of the patients was twenty-six years and the average follow-up was 3.9 years. Results were good in five patients, fair in one, and poor in one. Results were more closely correlated to tibiopedal motion than to anatomical restoration. In two patients pseudarthrosis developed: painful in one and asymptomatic in one. A good result has 16 to 20 degrees of tibiopedal motion; a fair result, 11 to 15 degrees; and a poor result, 10 degrees or less.

Adolescent↗
PubMed1980

Osteochondral lesions of the talus.

In a retrospective study of thirty-one ankles in twenty-nine patients with osteochondral lesions, we found that lateral lesions were associated with inversion or inversion-dorsiflexion trauma, were morphologically shallow, and were more likely to become displaced in the joint and to have persistent symptoms. Medial lesions were both traumatic and atraumatic in origin, morphologically deep, and less symptomatic. Using the classification system of Berndt and Harty, it appeared that Stage-I and Stage-II lesions should be treated non-operatively, regardless of location. Stage-III medial lesions should be treated non-operatively initially but if symptoms persist surgical excision and curettage are indicated. Stage-III lateral lesions and all Stage-IV lesions should be treated by early operation. Long-term results indicated that few lesions unite when treated non-operatively. Degenerative changes in the ankle joint, whether symptomatic or not, were common (50 per cent of the ankles) regardless of the type of treatment.

Ankle↗
PubMed1994

Medial subtalar dislocation associated with fracture of the posterior process of the talus. A case report.

A 27 year-old man was involved in a high-energy-impact motor-vehicle accident and sustained multiple injuries including a medial subtalar fracture dislocation. The dislocation of the subtalar joint was reduced by closed means, but a large, comminuted, displaced posterior process fracture remained. Open reduction and internal fixation through a posteromedial approach with mobilization of the neurovascular bundle was used to restore congruity to the subtalar joint.

Adult↗
PubMed1993

Intraarticular fractures of the foot. Talus and lesser tarsals.

In the absence of historical comparative data for the treatment of tarsal fractures, commonly abided maxims of trauma care are noteworthy. A displaced fracture involving an articular surface or a fracture interrupting a mechanical axis is treated by open reduction and internal fixation. Rigid fixation is followed as early as possible with active and passive mobilization. Unlike long bones, whose motion and fracture patterns (i.e., segmental, transverse, and oblique) are understood, the tarsal bones are small bones with complex shapes and restricted motion. As a result, tarsal injuries most often occur with multiple ligamentous and bony injuries. Articular step-off is difficult to establish roentgenographically, the blood supply is tenuous, and fixation is largely dependent on screws and Kirschner wires. Good outcome can be obtained by following principles of internal fixation established in treatment of major joint injuries.

Bone Screws↗