Plate Fixation of Talus Fractures: Where, When, and How?

Swords, Michael; Lakehomer, Harrison; McDonald, Michael; Patel, Jay

doi:10.4103/ortho.ijortho_645_17

Cited by 5 publications

(3 citation statements)

References 22 publications

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“…Placement of low-profile plates along the flexor hallucis longus tendon groove strikes a good balance between the need for fracture control and tendon irritation. Further studies with longer follow-ups are required to prove the effectiveness and specific long-term results and complications of new plate designs [7,56,[63][64][65][66].…”

Section: Contemporary Treatment Optionsmentioning

confidence: 99%

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History of the management of talar fractures: from the fall of king Darius to Garibaldi’s bullet and from the earliest to current operative strategies

Biz

Crimì

Refolo

et al. 2023

International Orthopaedics (SICOT)

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Purpose This historical review aims to highlight the important roles of the talus in antiquity and to summarise the multiple attempts of managing talar fractures throughout history. Method Archaeological, religious, artistic, literary, historical and scientific accounts were searched for the descriptions of talus fractures in different eras and their treatments to provide a thorough analysis of the evolution of trauma care up to the present. Results This review shows how the talus has always had an important role in several societies: it was used as a die or considered to have a divinatory function in Mesopotamian civilisations, among Greeks and Romans, in Mongolia and in pre-Columbian Americas. Famous talus fractures are recorded in Herodotus’ Histories and in the Acts of the Apostles. We report the earliest injuries described and the first operative managements between 1600 and 1800, including the one that saved Garibaldi’s life in 1862, until the modern osteosynthesis by the first screws and nails and the current fixation by plating. Conclusion The blooming of orthopaedic surgery at the end of nineteenth century and the high volume of traumas managed in the World Wars brought a better understanding of fracture patterns and their operative treatment. By the work of Hawkins and his classification, the introduction of the CT scan, a better knowledge of injury modalities and bone vascularisation, these challenging injuries finally land in the contemporary era without mysteries. The subsequently developed surgical procedures, although not guaranteeing success, greatly reduce the risk of necrosis and complication rate, improving patient outcomes.

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Section: Contemporary Treatment Optionsmentioning

confidence: 99%

“…Screws tend to fail in bending or by pullout, while plates break at their margins. It is thought that smaller more flexible plates might circumvent the issue in the future [63,[67][68][69].…”

Section: Contemporary Treatment Optionsmentioning

confidence: 99%

History of the management of talar fractures: from the fall of king Darius to Garibaldi’s bullet and from the earliest to current operative strategies

Biz

Crimì

Refolo

et al. 2023

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

“…Fracture reduction and stability, with minimal insult to the bone vascularity, are of paramount importance. The changing thought process toward fixing these by plates to achieve stability is well described by Swords et al ., 10 and the indications and methods are well reviewed. The unusual posteromedial body fractures are also discussed in a separate article, and their association with subtalar dislocations is emphasized, along with the fact that some may be open injuries.…”

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confidence: 99%