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Ankle Joint01:10

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The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
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The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
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Pulse assessment sites are crucial in evaluating a patient's cardiovascular health. By assessing the pulsations of arteries at specific anatomical locations, healthcare professionals can gather valuable information about blood flow, heart rate, and peripheral circulation. Understanding these pulse assessment sites is essential for conducting comprehensive cardiovascular evaluations and monitoring patients' overall health. These sites are strategically chosen due to the accessibility and...
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Bones of the Lower Limb: Femur and Patella01:16

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The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
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[Peripherial talar fractures].

M Richter1

  • 1Klinik für Fuß- und Sprunggelenkchirurgie Rummelsberg und Nürnberg, Standort Krankenhaus Rummelsberg, Rummelsberg 71, 90592, Schwarzenbruck, Deutschland, martinus.richter@sana.de.

Operative Orthopadie Und Traumatologie
|December 6, 2013
PubMed
Summary
This summary is machine-generated.

Surgical treatment for talar fractures involving joint surfaces uses open reduction and internal fixation with screws. All patients achieved bony fusion by six weeks with no reported complications, indicating a promising treatment for these complex injuries.

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Area of Science:

  • Orthopedic surgery
  • Foot and ankle surgery
  • Traumatology

Background:

  • Talar fractures, particularly those involving the joint surface, present complex challenges in orthopedic treatment.
  • Effective management strategies are crucial for restoring function and preventing long-term morbidity.

Observation:

  • This study evaluated the surgical technique of open reduction and internal fixation with screws for displaced talar fragments.
  • The procedure involved adapting positioning and approach to specific fracture locations, including cartilage repair in some cases.

Findings:

  • Eight patients with peripheral talar fractures underwent surgical treatment, with fragment fixation using 1-3 screws.
  • Four patients also received cartilage reconstruction with matrix-associated stem cell transplantation.
  • All patients demonstrated bony fusion by the six-week follow-up, with no complications reported during the observation period.

Implications:

  • Open reduction and internal fixation with screws appear to be a safe and effective method for treating talar fractures with joint involvement.
  • The technique shows potential for successful bony fusion and may be enhanced by concomitant cartilage reconstruction.
  • Further long-term follow-up is warranted to fully assess outcomes and durability.