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Surgical Treatment • Achieve anatomic reduction • Utilize dual incisions • Maintain capsular soft -tissue insertions to protect blood flow • Allows for visualization and correction of medial talar neck comminution • Utilize osteotomies as necessary • Take x-ray of uninjured side for morphology comparison
Fracture patterns provide clues to the underlying pathomechanics and energy of the injury, both of which can help guide treatment and suggest prognosis. Talus fractures have a wide variety of presentation from low-energy avul-sion fractures of the lateral or posterior processes, to high-energy comminuted talar body fractures.
Your treatment options will depend on the severity of the disease. If AVN of the talus is noted in an early stage, non-operative or early-stage surgical treatment options (e.g., core decompression or bone grafting) may be available. In late stage AVN, if the talus has begun to collapse or has fully collapsed, surgical intervention is required.
23 cze 2024 · Treatment Options for Talus Bone Issues. The treatment for talus bone issues varies depending on the severity and type of injury or condition. Common treatment options include: Non-Surgical Treatments – **Rest and Immobilization**: For minor fractures and lesions, rest and immobilization using a cast or brace can promote healing.
What are the treatment options? Non surgical treatment options should always be tried before considering an operation. Steroid joint injection: this can be used to help with diagnosis and also given some temporary pain relief. Steroid drug effect is only for 8 weeks but your pain relief could be for longer or shorter period.
Surgical care of talar body fractures is appropriately included in the same discus-sion of talar neck fractures. Fractures of the talar body are even more rare than talar neck fractures and are generally believed to be caused by high-energy axial loading of the tibiotalar joint. Posttraumatic arthritis, AVN, and malunion are common conse-
Peripheral talus fractures are rare injuries, and careful clinical and radiographic evaluation can lead to prompt diagnosis. An attempt at open reduction internal fixation can potentially improve outcome and delay arthrosis.
