8/29/2023 0 Comments Talus fracture treatment![]() ![]() Prospective studies investigating predictors for treatment success and/or failure are urgently needed to improve the overall quality of life and function of patients undergoing surgical treatment due to talar fractures.Īnkle fractures ankle injuries osteoarthritis osteonecrosis systematic review talus. Poor outcomes revealed a positive association with fracture severity. Talar fractures are associated with relatively poor postoperative outcomes, high rates of AVN, and posttraumatic osteoarthritis. The present systematic review on clinical outcomes of patients undergoing conservative or surgical treatment for talar fractures reveals a lack of reliable prospective evidence. The mean CMS was 34.3 (range: 19-47), indicating a moderate methodological quality of the studies. Of course, this book is not a replacement for a doctors examination or treatment plan. Success rates showed an association with fracture severity, and were generally low in complex multi-fragmentary fractures. The ultimate solution for pain relief and comfort. Talar fractures revealed a 43% posttraumatic osteoarthritis (OA) rate in our meta-analysis. ![]() The rate was higher for TN (43%) than TN/TB (25%). The overall complication rate for AVN was 25%. ![]() Success rates were 62%, 60%, and 50% for pooled fractures, TN, and TN/TB, respectively. A total of 29 retrospective studies, including 987 fractures with a mean follow-up of 49.9 months, were examined. In some cases, interposition of the disrupted ligament between the medial malleolus and the talus may prevent appropriate healing and stability. A severely broken ankle may require surgery to implant plates, rods or screws into the broken bone to maintain proper position during healing. Treatment for a broken ankle depends on the exact site and severity of the bone fracture. The quality of the included studies was assessed utilizing the Coleman Methodology Score (CMS). Fractures can range from tiny cracks in your bones to breaks that pierce your skin. Additionally, a subgroup analysis was performed for fracture localization (talar neck fractures (TN) and combined talar body/neck fractures (TN/TB)) and severity of the fracture. If the fracture is out of position, then surgery may be recommended to realign the broken bones and stabilize them with screws or pins. If the fracture is not out of position, a cast may be sufficient for treatment. Complications were defined as avascular bone necrosis (AVN) and posttraumatic osteoarthritis (OA). Treatment of a talus fracture depends on the extent of the injury. Hereafter, the success and complication rates were extracted and analyzed in a random effects proportion meta-analysis. We systematically searched Medline via OVID to find relevant studies with a follow-up of at least six months. The present study sought to summarize the available evidence on clinical outcomes and complications following conservative and surgical treatment of talar fractures. Physical therapy exercises will be initiated to restore movement.The integrity of the talus is crucial for the physiologic function of the feet. After surgery, you may have to wear a cast for 6 to 8 weeks until complete healing.
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