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Treatment of Osteonecrosis of the Talus.

Publication ,  Journal Article
Gross, CE; Sershon, RA; Frank, JM; Easley, ME; Holmes, GB
Published in: JBJS Rev
July 12, 2016

More than 60% of the talar surface area consists of articular cartilage, thereby limiting the possible locations for vascular infiltration and leaving the talus vulnerable to osteonecrosis. Treatment strategies for talar osteonecrosis can be grouped into four categories: nonsurgical, surgical-joint sparing, surgical-salvage, and joint-sacrificing treatments. Nonoperative and joint-sparing treatments include restricted weight-bearing, patellar tendon-bearing braces, bone-grafting, extracorporeal shock wave therapy, internal implantation of a bone stimulator, core decompression, and vascularized or non-vascularized autograft, whereas joint-sacrificing or salvage procedures include talar replacement (partial or total) and arthrodesis. In patients with a Ficat and Arlet grade-I through III osteonecrosis, evidence in favor of a specific treatment is poor, although tibiotalar or tibiotalocalcaneal arthrodesis may represent a suitable salvage operation.

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Published In

JBJS Rev

DOI

EISSN

2329-9185

Publication Date

July 12, 2016

Volume

4

Issue

7

Location

United States

Related Subject Headings

  • Transplantation, Autologous
  • Talus
  • Osteonecrosis
  • Humans
  • Bone Transplantation
  • Arthrodesis
 

Citation

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Gross, C. E., Sershon, R. A., Frank, J. M., Easley, M. E., & Holmes, G. B. (2016). Treatment of Osteonecrosis of the Talus. JBJS Rev, 4(7). https://doi.org/10.2106/JBJS.RVW.15.00087
Gross, Christopher E., Robert A. Sershon, Jonathan M. Frank, Mark E. Easley, and George B. Holmes. “Treatment of Osteonecrosis of the Talus.JBJS Rev 4, no. 7 (July 12, 2016). https://doi.org/10.2106/JBJS.RVW.15.00087.
Gross CE, Sershon RA, Frank JM, Easley ME, Holmes GB. Treatment of Osteonecrosis of the Talus. JBJS Rev. 2016 Jul 12;4(7).
Gross, Christopher E., et al. “Treatment of Osteonecrosis of the Talus.JBJS Rev, vol. 4, no. 7, July 2016. Pubmed, doi:10.2106/JBJS.RVW.15.00087.
Gross CE, Sershon RA, Frank JM, Easley ME, Holmes GB. Treatment of Osteonecrosis of the Talus. JBJS Rev. 2016 Jul 12;4(7).

Published In

JBJS Rev

DOI

EISSN

2329-9185

Publication Date

July 12, 2016

Volume

4

Issue

7

Location

United States

Related Subject Headings

  • Transplantation, Autologous
  • Talus
  • Osteonecrosis
  • Humans
  • Bone Transplantation
  • Arthrodesis