#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Long-term consequences of complex talus fracture – case report


Authors: Lubomír Kopp;  Jakub Avenarius;  Petr Obruba;  Jan Houser
Authors place of work: Traumacentre, Masaryk Hospital, Ústí nad Labem ;  Traumacentrum, Masarykova nemocnice Ústí nad Labem
Published in the journal: Úraz chir. 18., 2010, č.4

Summary

Authors describe a case of polytraumatised 16-years old male patient, that suffered a complex open fracture of talus and malleoli. Despite of proper primary treatment it came to development of avascular necrosis of talar body. Two years after surgery patient suffers from severe painful ROM limitation, varus axial deviation and arthrosis of upper and lower ankle joint. The situation was solved in cooperation with Clinic of traumatology and reconstructive surgery Dresden, Germany by performing double plate arthrodesis of both ankle joints. This technique does not prevale in our conditions, but is capable of solving whole pathology in one step.

Key words:
talus fracture, avascular necrosis, arthrodesis.


Zdroje

1. Boack, D.-H., Manegold, S., Haas, N. P. The-rapiestrategien bei Talusfrakturen. Unfallchirurg. 2004, 107, 499–514.

2. CEBESOY, O., KARAKURUM, G. Talar fractures and avascular necrosis. Are we underestimating the risk? Int Orthop. 2007, 31, 269.

3. EBERL, R., KAMINSKI, A., MUHR, G. Talusfraktur. Trauma Berufskr. 2004, 10, 1007–1017.

4. GRASS, R., RAMMELT, S., ENDRES, T., ZWIPP, H.: Reorientierende Arthrodese des oberen Spunggelenkes in der 4-Schrauben Technik. Orthopäde. 2005, 34, 1209–1215.

5. HAWKINS, L. G. Fractures of the neck of the talus. J Bone Joint Surg Am. 1970, 52, 991–1002

6. HUANG, P., CHENG, Y. Delayed surgical treatment for neglected or mal-reduced talar fractures. Int Orthop. 2005, 29, 326–329.

7. KLOS, K., DRECHSEL, T., GRAS, F., BEIMEL, C. et al. The use of retrograde fixed angle intramedullary nail for tibiocalcaneal arthrodesis after severe loss of the talus. Strat Traum Limb Recon. 2009, 4, 95–102.

8. MADER, K., VERHEYEN, C.C., GAUSEPOHL, T. et al. Minimally invasive ankle arthrodesis with a retrograde locking nail after failed fusion. Strat Traum Limb Recon. 2007, 2, 39–47.

9. MARTI, R. Talusfrakturen. Unfallmed Berufskr. 1971, 64, 108.

10. OHL, X., HARISBOURE, A., HEMERY, X. et al. Long-term follow-up after surgical treatment of talar fractures. Int Orthop. [online]. [cit. 2009-12-22]. Dostupná z WWW:

11. SNEPPEN, O., CHRISTENSEN, S. B., KROGSOE, O., LORENTZEN, J. Fracture of the body of talus. Acta Orthop Scand. 1977, 48, 317–324.

12. THORDARSON, D.B. Talus fractures. FussSprungg. 2007, 5, 104–113.

13. TYLLIANAKIS, M., KARAGEORGOS, A., PAPA-DOPOULOS, A. X., LAMBIRIS, E.: Surgical treatment of talar neck fractures. Eur J Traum. 2004, 2, 98–103.

Štítky
Surgery Traumatology Trauma surgery
Prihlásenie
Zabudnuté heslo

Zadajte e-mailovú adresu, s ktorou ste vytvárali účet. Budú Vám na ňu zasielané informácie k nastaveniu nového hesla.

Prihlásenie

Nemáte účet?  Registrujte sa

#ADS_BOTTOM_SCRIPTS#