Secondary Reconstruction for Malunions and Nonunions of the Talar Body

Malunions and nonunions after central or peripheral fractures of the talar body frequently lead to pain and disability. In properly selected, compliant patients without symptomatic arthritis or total avascular necrosis leading to collapse of the talar dome, and sufficient bone stock, secondary anato...

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Bibliographic Details
Published inFoot and ankle clinics Vol. 21; no. 1; p. 95
Main Authors Zwipp, Hans, Rammelt, Stefan
Format Journal Article
LanguageEnglish
Published United States 01.03.2016
Subjects
Arthritis - etiology
Arthritis - prevention & control
Fracture Fixation, Internal
Fractures, Bone - complications
Fractures, Bone - surgery
Fractures, Malunited - complications
Fractures, Malunited - surgery
Fractures, Ununited - complications
Fractures, Ununited - surgery
Humans
Osteotomy
Reconstructive Surgical Procedures
Talus - injuries
Talus - surgery
Talus
Malunion
Fracture
Nonunion
Osteotomy
Correction
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Summary:Malunions and nonunions after central or peripheral fractures of the talar body frequently lead to pain and disability. In properly selected, compliant patients without symptomatic arthritis or total avascular necrosis leading to collapse of the talar dome, and sufficient bone stock, secondary anatomic reconstruction with osteotomy along the former fracture plane and preservation of the essential peritalar joints may lead to considerable functional improvement. Bone grafting is needed after resection of a fibrous pseudarthrosis, sclerotic, or necrotic bone. Malunions and nonunions of the lateral or posterior process are treated with excision of the malunited or loose fragments.
ISSN:1558-1934
DOI:10.1016/j.fcl.2015.09.011