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Revision Surgery of the Foot and Ankle pp 161–171Cite as

Corrective Osteotomy for Talar Neck Malunions

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Abstract

The integrity of the talus and its joints is essential for global foot function. Malunions and nonunions at the talar neck result in a three-dimensional foot deformity causing significant disability and pain in the affected patients. For the choice of treatment of patients with painful residual deformity after a talar fracture, the distinction between partial and total avascular necrosis (AVN) with collapse of the talar dome is of importance. In properly selected, compliant patients without symptomatic arthritis or total AVN leading to collapse of the talar dome, and sufficient bone stock, secondary anatomical reconstruction with osteotomy along the former fracture plane and preservation of the essential peritalar joints may lead to considerable functional improvement. Bone grafting is needed after resection of a fibrous pseudarthrosis, sclerotic, or necrotic bone.

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Authors and Affiliations

  1. University Hospital Carl Gustav Carus at TU Dresden, University Center of Orthopaedics and Traumatology, Dresden, Germany

    Stefan Rammelt & Elisabeth Manke

Authors
  1. Stefan Rammelt
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  2. Elisabeth Manke
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Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, Cleveland Clinic, Cleveland, OH, USA

    Mark J. Berkowitz

  2. Florida Orthopaedic Institute, Temple Terrace, FL, USA

    Michael P. Clare

  3. Department of Orthopedic Surgery, Oakland University William Beaumont, Royal Oak, MI, USA

    Paul T. Fortin

  4. Medstar Union Memorial Hospital, Baltimore, MD, USA

    Lew C. Schon

  5. Florida Orthopedic Institute, Temple Terrace, FL, USA

    Roy W. Sanders

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Rammelt, S., Manke, E. (2020). Corrective Osteotomy for Talar Neck Malunions. In: Berkowitz, M., Clare, M., Fortin, P., Schon, L., Sanders, R. (eds) Revision Surgery of the Foot and Ankle. Springer, Cham. https://doi.org/10.1007/978-3-030-29969-9_9

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  • DOI: https://doi.org/10.1007/978-3-030-29969-9_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-29968-2

  • Online ISBN: 978-3-030-29969-9

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