Talar Body Reconstruction for Nonunions and Malunions

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art_SAKAKI_Talar_Body_Reconstruction_for_Nonunions_and_Malunions_2018.PDF (1.49 MB)
Citações na Scopus
1
Tipo de produção
article
Data de publicação
2018
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
MEDKNOW PUBLICATIONS & MEDIA PVT LTD
Autores
Citação
INDIAN JOURNAL OF ORTHOPAEDICS, v.52, n.3, p.276-283, 2018
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background: Talar body and neck nonunions and malunions may undergo a reconstructive surgery when joint cartilage is still viable, and no talar collapse or infection has occurred. This is a rare condition and the studies supporting the procedure have small number of cases. The objective of the present study is to report a case series of six patients who underwent talar reconstructions. Materials and Methods: Six patients with talar malunions or nonunions who underwent surgical treatment were reviewed in this retrospective study. There were three nonunions and two malunions of the talar body and one malunion of the talar neck. Clinical evaluation included all the parameters used in the American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot scale. Arthritic degeneration of the ankle joint was assessed according to a modified Bargon scale. Results: The mean followup was 86 months (range 24-282 months). There were no cases of postoperative avascular necrosis of the talus. Four of the six patients in our series required a subtalar fusion as part of the reconstruction procedure. The average preoperative AOFAS hindfoot score was 34, and at the time of the last evaluation, it was 74. The mean preoperative score on the modified Bargon scale for the tibiotalar joint was 1.17. At the last followup, it rose to 1.33. Three different deformities of the talus were identified (a) flattening of the talus (b) extra-articular step and (c) intraarticular step. Conclusion: Reconstruction of talar nonunions and malunions improved function in selected patients with a low risk of complications. Three different anatomical patterns of talar nonunions and malunions were identified.
Palavras-chave
Bone reconstruction, malunion, nonunion, talar fracture
URI
https://observatorio.fm.usp.br/handle/OPI/27009
Referências
  1. Abdelgaid Sherif Mohamed, 2012, Foot Ankle Surg, V18, P219, DOI 10.1016/j.fas.2012.01.003
  2. Abdelkafy A, 2015, J FOOT ANKLE SURG, V54, P23, DOI 10.1053/j.jfas.2014.09.046
  3. Annappa Rajendra, 2015, Foot (Edinb), V25, P127, DOI 10.1016/j.foot.2015.03.004
  4. Asencio G, 2000, REV CHIR ORTHOP, V86, P173
  5. Beltran MJ, 2016, FOOT ANKLE INT, V37, P1130, DOI 10.1177/1071100716655434
  6. Calvert Erik, 2007, Foot Ankle Clin, V12, P137, DOI 10.1016/j.fcl.2006.12.006
  7. CANALE ST, 1978, J BONE JOINT SURG AM, V60, P143, DOI 10.2106/00004623-197860020-00001
  8. Chen DW, 2013, ACTA ORTOP BRAS, V21, P226, DOI 10.1590/S1413-78522013000400009
  9. Chen G, 2017, ORTHOP SURG, V9, P34, DOI 10.1111/os.12301
  10. Daniels TR, 1996, J BONE JOINT SURG AM, V78A, P1559, DOI 10.2106/00004623-199610000-00015
  11. Fournier A, 2012, ORTHOP TRAUMATOL-SUR, V98, pS48, DOI 10.1016/j.otsr.2012.04.012
  12. FRAWLEY PA, 1995, FOOT ANKLE INT, V16, P339, DOI 10.1177/107110079501600605
  13. Gagneux E, 1997, Acta Orthop Belg, V63, P294
  14. [俞光荣 Yu Guangrong], 2010, [中华外科杂志, Chinese Journal of Surgery], V48, P658
  15. Huang PJ, 2005, INT ORTHOP, V29, P326, DOI 10.1007/s00264-005-0675-1
  16. MAHAN KT, 1992, J AM PODIAT MED ASSN, V82, P454, DOI 10.7547/87507315-82-9-454
  17. Migues A, 1996, FOOT ANKLE INT, V17, P690, DOI 10.1177/107110079601701108
  18. Miller AN, 2011, J BONE JOINT SURG AM, V93A, P1116, DOI [10.2106/JBJSJ.00693, 10.2106/JBJS.J.00693]
  19. Monroe MT, 1999, FOOT ANKLE INT, V20, P192, DOI 10.1177/107110079902000310
  20. Rammelt S, 2005, ACTA ORTHOP, V76, P588, DOI 10.1080/17453670510041600
  21. Rockett M S, 1998, J Foot Ankle Surg, V37, P156
  22. Sakaki Marcos Hideyo, 2014, Rev. bras. ortop., V49, P334, DOI 10.1016/j.rboe.2013.07.002
  23. SANGEORZAN BJ, 1992, J ORTHOPAED RES, V10, P544, DOI 10.1002/jor.1100100409
  24. Stake IK, 2016, FOOT ANKLE SURG, V22, P85, DOI 10.1016/j.fas.2015.05.005
  25. Suter T, 2013, CLIN ORTHOP RELAT R, V471, P1356, DOI 10.1007/s11999-012-2649-0
  26. Vallier HA, 2014, J BONE JOINT SURG AM, V96A, P192, DOI 10.2106/JBJS.L.01680
  27. Xue YD, 2014, INT ORTHOP, V38, P149, DOI 10.1007/s00264-013-2164-2
  28. Young KW, 2016, CLIN ORTHOP SURG, V8, P303, DOI 10.4055/cios.2016.8.3.303
  29. Zwipp H, 2014, UNFALLCHIRURG, V117, P767, DOI 10.1007/s00113-014-2601-8
  30. Zwipp H, 2003, ZBL CHIR, V128, P218, DOI 10.1055/s-2003-38536
  31. Zwipp H, 2016, FOOT ANKLE CLIN, V21, P95, DOI 10.1016/j.fcl.2015.09.011

Coleções
Artigos e Materiais de Revistas Científicas - FM/MOT
Artigos e Materiais de Revistas Científicas - HC/IOT
Artigos e Materiais de Revistas Científicas - LIM/41