Clinical outcomes after arthroscopically assisted talus fracture fixation

Bardas, Ciprian Alin; Benea, Horea; Apostu, Dragoș; Oltean‐Dan, Daniel; Tomoaia, Gheorghe; Bauer, Thomas

doi:10.1007/s00264-020-04859-5

Cited by 5 publications

(10 citation statements)

References 19 publications

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“…The results of the search strategy and study selection criteria are shown in Figure 1. A total of 12 studies were included in this systematic review [11][12][13][14][15][16][17][18][19][20][21][22].…”

Section: Resultsmentioning

confidence: 99%

Arthroscopic reduction and internal fixation (ARIF) for talar body fractures: systematic review

Cellier

Sleth²,

Bauzou

et al. 2023

SICOT-J

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Purpose: This study aimed to systematically assess the available literature on the technique and results of arthroscopic reduction – internal fixation for displaced fractures of the talar body. Methods: A systematic review was made of the available literature on MEDLINE, EMBASE, and the Cochrane Library database, including studies from January 1985 to July 2021. The literature search, data extraction, and quality assessment were conducted by two independent reviewers. Surgical technique, perioperative management, clinical outcome scores, radiographic outcomes, and complication rates were evaluated. Results: Out of 37 articles reviewed, 12 studies met the inclusion criteria. The studies included reported on the results of 22 patients. No complications were observed in any of the patients treated. Conclusions: The included studies had too many weaknesses to allow the pooling of data or meta-analysis. However, percutaneous arthroscopic talar internal fixation appears to be a good option for uncomplicated displaced intra-articular talar fractures. Appropriately powered randomized controlled trials with long-term follow-ups are required to confirm the effectiveness of this technique. Level of Evidence: Level IV, a systematic review of Level IV studies.

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Section: Resultsmentioning

confidence: 99%

Arthroscopic reduction and internal fixation (ARIF) for talar body fractures: systematic review

Cellier

Sleth²,

Bauzou

et al. 2023

SICOT-J

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“…The TARIF procedure has been shown to successfully treat many complex talar fractures 2 . We theorize that this procedure produces equivalent outcomes when compared with the standard approaches to fracture fixation, with the added benefit of avoiding excessive soft-tissue disruption and neurovascular compromise.…”

Section: Expected Outcomesmentioning

confidence: 99%

“…The fixated talus is tested through its range of motion while under arthroscopy and fluoroscopy to ensure adequate fixation while preserving range of motion. Expected Outcomes: The TARIF procedure has been shown to successfully treat many complex talar fractures 2 . We theorize that this procedure produces equivalent outcomes when compared with the standard approaches to fracture fixation, with the added benefit of avoiding excessive soft-tissue disruption and neurovascular compromise.…”

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confidence: 99%

“…Our arthroscopic approach allows for direct visualization of articular injuries and reduction, with the ability to evacuate loose bodies and fracture hematoma, reducing matrix metalloproteinases (MMPs) known to cause posttraumatic ankle arthritis 1,3 . Multiple case series have assessed the use of this technique, showing preserved range of motion and minimal residual pain or disability, as measured with use of multiple scoring systems such as the American Orthopaedic Foot & Ankle Society Ankle-Hindfoot scale 1,2 . Important Tips:…”

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confidence: 99%

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Talar Arthroscopic Reduction and Internal Fixation (TARIF)

Martin

Curatolo

Gallagher

et al. 2023

JBJS Essential Surgical Techniques

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Background: Talar arthroscopic reduction and internal fixation (TARIF) is an alternative approach for the operative fixation of talar fractures that may be utilized instead of more traditional open approaches such as medial, lateral, or even dual anterolateral. The TARIF approach allows for nearly anatomic fracture reduction and fixation of talar neck, body, and posterior dome fractures while minimizing the soft-tissue stripping and vascular injury associated with the standard anterolateral approach. Description: Following initial closed fracture reduction and any associated procedures, we recommend obtaining computed tomography scans of the injured ankle in order to evaluate the fracture pattern and allow for preoperative planning. Most patients can be positioned prone for this procedure, except for those with fractures associated with anterior loose bodies and those with neck fractures requiring reduction, which are both amenable to lateral positioning 1 . The feet are positioned off the end of the bed in a neutral position with room to plantar flex and dorsiflex the ankle freely for reduction maneuvers. Following induction of anesthesia and positioning of the patient, the fluoroscopic screen and arthroscopy equipment are positioned on the side opposite the surgeon. A mini C-arm is utilized for the fluoroscopy. The team may then proceed with preparing and draping the surgical field. The surgeon proceeds with creating posteromedial and posterolateral portals to view the fracture site. For talar neck fractures, we utilize standard posterolateral and posteromedial portals directly adjacent to the Achilles tendon at the level of the tip of the medial malleolus, which have previously been established as safe with respect to neurovascular structures 4 . Of note, for talar body fractures these portals are placed slightly more distal at the level of the distal fibula, allowing the screws to be placed perpendicular to the fracture site. An accessory sinus tarsi portal can be established if further reduction to correct varus is needed. The flexor hallucis longus tendon serves as a landmark throughout the case to maintain orientation. We prefer to utilize a 1.9-mm malleable arthroscopic NanoScope (Arthrex), which maximizes our view in the small subtalar space and allows for visualization over the talar dome. A shaver is then utilized to clear out the deep Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSEST/A400).

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“…The articles about the clinical outcomes after arthroscopically assisted talus fracture fixation [22] and about the treatment of hallux rigidus by a novel bi-phasic aragonitebased implant: results of a two year multi-centre clinical trial [23] are included in Foot and Ankle section of this issue.…”

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confidence: 99%

Central and Eastern Europe actual orthopaedics profile

Antolič

Bumbaširević

Pećina

2021

International Orthopaedics (SICOT)

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The Central and Eastern European Special Issue of International Orthopaedics Journal comes from countries, nations and peoples which long ago were living in mighty powerful empires and for centuries there was a clash between opposing interests and ideas due to various religions, cultures and traditions. The majority of people were suffering poverty and lack of personal liberty, countless died due to various diseases or were killed in numerous wars. Brave people started the liberation process very soon after the French Revolution, went through many socioeconomic and political developments, some gained independence as early as the nineteenth century, still others had to wait until the end of the First World War, and the last ones until the fall of the Iron Curtain and the Berlin Wall. People from this part of the world are now all living and enjoying personal and economic freedom. This Special Issue, with a representative insight of the state of the art in orthopaedics, is a proof that orthopaedic practice, professional career, and scientific work of the majority of the countries from the region are becoming internationally recognisable and comparable with the rest of the world as well. In this Special Issue, we have included papers from Austria,

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Clinical outcomes after arthroscopically assisted talus fracture fixation

Cited by 5 publications

References 19 publications

Arthroscopic reduction and internal fixation (ARIF) for talar body fractures: systematic review

Arthroscopic reduction and internal fixation (ARIF) for talar body fractures: systematic review

Talar Arthroscopic Reduction and Internal Fixation (TARIF)

Central and Eastern Europe actual orthopaedics profile

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