Extruded Talus Injuries: A Cross-sectional Survey of Indian Orthopedic Surgeons

JOURNAL TITLE: Journal of Foot and Ankle Surgery (Asia Pacific)

Author
1. Devendra K Chouhan
2. Sameer Aggarwal
3. Sharad Prabhakar
ISSN
2348-280X
DOI
10.5005/jp-journals-10040-1080
Volume
5
Issue
1
Publishing Year
2018
Pages
4
Author Affiliations
    1. Postgraduate Institute of Medical Sciences, Chandigarh, India
    2. Postgraduate Institute of Medical Education and Research, Chandigarh, India
    1. Pandit Bhagwat Dayal Sharma Post, Graduate Institute of Medical Sciences, Rohtak, Haryana, India
    2. Apex Plus Super-Speciality Hospital, Rohtak, Haryana, India
    3. Pandit Bhagwat Dayal Sharma, Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India
    4. Apex Plus Superspeciality Hospital, Rohtak, Haryana, India
    1. Department of Orthopedics, Postgraduate Institute of Medical Education and Research, Chandigarh, India
  • Article keywords
    Extruded talus, Missing talus, Survey, Talar dislocation, Talar extrusion, Talus

    Abstract

    Introduction: Management of extruded talus (ET) injuries poses a dilemma, owing to its rarity as well as the paucity and diversity of the published literature. Materials and methods: We designed an eight-item questionnaire-based survey, which was administered to Indian orthopedic surgeons. Results: A total of 379 participants completed the survey, 265 (69.9%) reported having seen or treated a case of ET; 172 participants reported following up their case for >1 year. Of these, 33 cases (8.7%) had a well-retained talus without any evidence of avascular necrosis (AVN), arthrosis, or infection; 104 (27.4%) cases had AVN with or without infection; 42 (11.1%) cases developed ankle arthrosis and the talus was not retained and arthrodesis done in 12 (3.1%) cases. A total of 235 (62%) participants chose AVN as the most feared complication, followed by infection (20.3%, n = 77) and arthroses (7.4%, n = 28); 359 (94.7%) participants preferred primary repositioning of ET; 320 (84.4%) participants were not aware of any studies reporting long-term outcomes of these injuries. Conclusion: Most Indian surgeons prefer primary repositioning of ET to talectomy and arthrodesis. Avascular necrosis remains the major concern after repositioning. Awareness on long-term outcomes of these injuries is lacking, and more studies reporting long-term outcomes are needed.

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