| Autor: |
Szecel Z; ) Service de Chirurgie orthopédique, CHC Mont-légia, Liège, Belgique., Berger JP; ) Service de Chirurgie orthopédique, CHC Mont-légia, Liège, Belgique., Lambeaux G; ) Service de Chirurgie orthopédique, CHC Mont-légia, Liège, Belgique. |
| Jazyk: |
francouzština |
| Zdroj: |
Revue medicale de Liege [Rev Med Liege] 2021 Dec; Vol. 76 (12), pp. 837-839. |
| Abstrakt: |
The complete dislocation of the talus or «missing talus» corresponds to a simultaneous dislocation of the tibiotalar, talocalcaneal and talonavicular joints, without associated talar fracture. This lesion occurs as part of high energy trauma and accounts for 3 to 5 % of talus injuries. It is most frequently anterolateral and in more than 75 % of cases, this dislocation is open. Among the soft tissue lesions that are often associated with the dislocation, vascular lesions leading to avascular necrosis of the talus are found in almost 100 % of cases. This necrosis is generally well tolerated by the patient. A conservative treatment by reimplantation of the talus after debridement of the site should be performed as a first-line treatment as fast as possible. When the avascular necrosis of the talus is not well tolerated by the patient, a talectomy associated with tibiocalcaneal arthrodesis can be performed as a secondary procedure. Talectomy alone should not be done. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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