ArticleIndian journal of orthopaedics
Management Options in Avascular Necrosis of Talus.
Article in Indian journal of orthopaedics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed, 62 citations in OpenAlex.
- Clinical short-term analysis and effectiveness evaluation of optimally designed customized artificial talus implants.Scientific reports · 2025Trial
- Total Talus Replacement using a Custom 3D-Printed Titanium Implant for Post-Traumatic Avascular Necrosis of Talus following Failed Internal fixation: A Case Report.Journal of orthopaedic case reports · 2026Article
- Treatment for primary avascular necrosis of the lower limb in childhood.The Cochrane database of systematic reviews · 2026Article
- An in-depth examination of bone avascular necrosis and early-stage treatment modalities utilizing regenerative medicine.Iranian journal of basic medical sciences · 2026Review
- Custom 3D implants for managing bone defects-indications and lessons learned.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Review
- Article
- Compliant buffer layer achieves native-like cartilage stress in talar prosthesis: a finite element analysis study.Journal of orthopaedic surgery and research · 2025Article
- Talar Allografts in Tibiotalocalcaneal Arthrodesis: A Salvage Approach for Complex Hindfoot Pathologies.Journal of clinical medicine · 2025Article
- Avascular Necrosis of the Talus: Diagnosis, Treatment, and Modern Reconstructive Options.Medicina (Kaunas, Lithuania) · 2024Review
- [Research progress in surgical treatment of avascular necrosis of talus].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Article
- Article
- A Comparative Analysis of Osteochondritis Dissecans and Avascular Necrosis: A Comprehensive Review.Journal of clinical medicine · 2024Review
- Acute traumatic subtalar dislocation: A rare but important clinical entity with 15-year retrospective radiological analysis of 23 cases.Journal of clinical imaging science · 2024Article
- Talus Idiopathic Versus Stress-Injury-Related Osteonecrosis and Its Resolution: A Case Report.Cureus · 2023Article
- Talus bone: normal anatomy, anatomical variations and clinical correlations.Anatomical science international · 2023Review
- Avascular necrosis of the talus causing meniscoid lesions in the ankle joint: a case report.Journal of medical case reports · 2022Article
- Anatomical basis of a pedicled cuboid bone graft based on the lateral tarsal artery for talar avascular necrosis.Surgical and radiologic anatomy : SRA · 2021Article
- Three dimension printing talar prostheses for total replacement in talar necrosis and collapse.International orthopaedics · 2021Article
- Outcome of Pantalar Fusion With Femoral Head Allograft in Avascular Necrosis of Talus.Frontiers in surgery · 2021Article
- Multiple Joint Osteonecrosis in a Patient on Long-term Intranasal Corticosteroids.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2020Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Avascular necrosis (AVN) of the talus can be a cause of significant disability and is a difficult problem to treat. The most common cause is a fracture of the talus. We have done a systematic review of the literature with the following aims: (1) identify and summarize the available evidence in literature for the treatment of talar AVN, (2) define the usefulness of radiological Hawkins sign and magnetic resonance imaging in early diagnosis, and (3) provide patient management guidelines. We searched MEDLINE and PUBMED using keywords and MESH terminology. The articles' abstracts were read by two of the authors. Forty-one studies met the inclusion criteria of the 335 abstracts screened. The interventions of interest included hindfoot fusion, conservative measures, bone grafting, vascularized bone graft, core decompression, and talar replacement. All studies were of Level IV evidence. We looked to identify the study quality, imprecise and sparse data, reporting bias, and the quality of evidence. Based on the analysis of available literature, we make certain recommendations for managing patients of AVN talus depending on identified disease factors such as early or late presentation, extent of bone involvement, bone collapse, and presence or absence of arthritis. Early talar AVN seems best treated with protected weight bearing and possibly in combination with extracorporeal shock wave therapy. If that fails, core decompression can be considered. Arthrodesis should be saved as a salvage procedure in late cases with arthritis and collapse, and a tibiotalocalcaneal fusion with bone grafting may be needed in cases of significant bone loss. Role of vascularized bone grafting is still not defined clearly and needs further investigation. Future prospective, randomized studies are necessary to guide the conservative and surgical management of talar AVN.
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