Treatment of Osteonecrosis of the Talus.

Published

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Gross, CE; Sershon, RA; Frank, JM; Easley, ME; Holmes, GB

Published Date

  • July 12, 2016

Published In

Volume / Issue

  • 4 / 7

PubMed ID

  • 27509328

Pubmed Central ID

  • 27509328

Electronic International Standard Serial Number (EISSN)

  • 2329-9185

Digital Object Identifier (DOI)

  • 10.2106/JBJS.RVW.15.00087

Language

  • eng

Conference Location

  • United States