Abstract：
INTRODUCTION:Talar fracture is rare. Treatment is surgical for neck and/or body fractures with displacement. The aims of the present study were to collect epidemiological data on talar fractures, and to assess the impact of trauma via various functional scores and radiographic impact in the medium term. HYPOTHESIS:Displaced talar fracture shows negative medium-term functional and radiological/clinical impact. MATERIAL AND METHODS:A multicenter retrospective study was performed with a minimum follow-up of 12 months post-trauma. Inclusion criteria included radiographic assessment at a minimum 12 months post-trauma and data on 3 functional scores: SF12, AOFAS and FAAM. 225 patients were initially included, 81 of whom had follow-up with functional and radiological/clinical assessment. RESULTS:Fracture reduction was anatomic in 61% of cases when CT was performed; reduction quality was independent of approach (p>0.05). 45% of patients showed subtalar osteoarthritis at a mean 2 years, significantly related to reduction defect (p<0.05). Mean AOFAS score was acceptable, at 74/100. Factors for functional prognosis comprised: reduction quality, hindfoot alignment, subtalar osteoarthritis, and talar osteonecrosis with dome collapse. DISCUSSION:Talar fracture led to late complications with socioeconomic impact. Subtalar osteoarthritis affects almost half of patients within some months of trauma. Optimal reduction is the key to fair progression. Postoperative CT assessment now seems mandatory. LEVEL OF EVIDENCE:IV; multicenter retrospective study.
journal_name
Orthop Traumatol Surg Resjournal_title
Orthopaedics & traumatology, surgery & research : OTSRauthors
Sautet P,Roussignol X,Loubignac F,Rochwerger RA,Pidhorz L,French Society of Orthopedic Surgery and Traumatology (SoFCOT).doi
10.1016/j.otsr.2021.102835subject
Has Abstractpub_date
2021-01-29 00:00:00pages
102835issn
1877-0568pii
S1877-0568(21)00047-5pub_type
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2009.11.012
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2014.07.005
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,评审
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更新日期：2013-02-01 00:00:00
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,评审
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更新日期：2017-02-01 00:00:00
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2014.03.020
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
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更新日期：2014-09-01 00:00:00
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
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abstract：BACKGROUND:Continuous peripheral nerve block (CPNB), in particular at the popliteal fossa, is widely used in orthopedic surgery, allowing good postoperative analgesia. Possible neuropathic complications, however, remain poorly known. OBJECTIVE:To review the characteristics of peripheral neuropathy (PN) after sciatic C...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2015.08.010
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2016.02.005
更新日期：2016-06-01 00:00:00
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2018.02.018
更新日期：2018-12-01 00:00:00
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
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journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章,评审
doi：10.1016/j.otsr.2018.05.018
更新日期：2019-02-01 00:00:00
abstract：INTRODUCTION:There is concern regarding potential non-union of the fibula following distraction osteogenesis and if non-union of the fibula leads to poor outcome. HYPOTHESIS:Assess the incidence of fibula non-union in patients undergoing distraction osteogenesis of the tibia and to report the effects on patient outcom...
journal_title：Orthopaedics & traumatology, surgery & research : OTSR
pub_type： 杂志文章
doi：10.1016/j.otsr.2018.09.012
更新日期：2018-12-01 00:00:00
