Fractures of the lateral process of the talus. A report of seven operated cases

Maes, Renaud; Delmi, Marino; Dojcinovic, Srdan; Peter, Robin; Hoffmeyer, Pierre

doi:10.1016/j.fas.2004.04.003

Cited by 7 publications

(4 citation statements)

References 15 publications

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“…First, no sample size calculation was conducted due to the observational study design and the low incidence of LPTF. Second, the study was retrospective, which again is in line with most other studies and again attributable to the low fracture incidence [4–6, 10, 15, 17, 18]. A further limitation could be the small number of patients ( n = 22).…”

Section: Discussionmentioning

confidence: 61%

“…The authors are only aware of eight case series (> 6 patients) reporting on the outcome of LPTFs [4–7, 10, 17, 18]. Out of those, only two studies applied a standardized treatment algorithm and evaluated the surgical outcome using PROMs [7, 15].…”

Section: Discussionmentioning

confidence: 99%

“…On the contrary, neither the occurrence nor the number of concomitant injuries affected the patient rated outcome. Only five studies have previously reported on concomitant injuries following LPTFs [6, 10, 15, 17, 18]. Von Knoch et al reported a rate of concomitant injuries of 88% [15].…”

Section: Discussionmentioning

confidence: 99%

“…The best treatment for LPTF remains a matter of debate as these fractures are rare, the literature available is limited, and concomitant injuries are frequent. The vast majority of LPTF studies are descriptive, retrospective case series based on plain radiographs missing a standardized treatment concept [4–6, 10, 17, 18]. Only two studies validated a predefined treatment regimen [7, 15].…”

Section: Introductionmentioning

confidence: 99%

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Clinical outcome and concomitant injuries in operatively treated fractures of the lateral process of the talus

Hörterer

Baumbach

Lemperle

et al. 2019

BMC Musculoskelet Disord

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Background The aim of this study was to review the patient rated outcome (PROM) of surgically treated fractures to the lateral process of the talus (LPTF) and identify factors influencing the outcome. Methods Retrospective study with a current follow-up. Eligible were all patients treated surgically for a LPTF ( n = 23) with a minimum follow-up of one year. Demographics, medical history, trauma mechanism, fracture characteristics, concomitant injuries, treatment details, complications, return to work and sports were assessed retrospectively. The current follow-up included the VAS FA, Karlsson Score, and SF-12. The primary outcome was the VAS FA. Secondary aim was the identification of parameters influencing the PROMs. Results 22 patients (96% follow-up) with a mean age of 32 ± 9 (18 to 49) years were included. 73% suffered a Hawkins Type 1, 23% a Type 2, and one patient a Type 3 fracture. 82% suffered concomitant injuries. 9% suffered minor surgical side infections, 50% developed symptomatic subtalar osteoarthritis. At final follow-up (44 ± 2 (12 to 97) months), the mean VAS FA Overall was 77 ± 21 (20 to 100), the Karlsson Score 72 ± 21 (34 to 97), and for the SF 12 the PCS 53 ± 8 (36 to 64) and the MCS 53 ± 7 (32 to 63). 50% of patients returned to their previous level of sports. Hawkins Type 1 fractures resulted in better VAS FA Overall score than Type 2 fractures. Posttraumatic subtalar osteoarthritis was the independent factor associated to a poor patient rated outcome (VAS FA, Karlsson Score). Conclusion After a follow-up of over 3.5 years, surgically treated LPTF resulted in only moderate results. 50% suffered posttraumatic symptomatic subtalar osteoarthritis, which was the primary independent parameter for a poor outcome following LPTF. Level of evidence Level III. Electronic supplementary material The online version of this article (10.1186/s12891-019-2603-3) contains supplementary material, which is available to authorized users.

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