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Page 1: Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume

Surgical Treatment of Talar Body Fractures

by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan

JBJS Essent Surg TechVolume os-86(1 suppl 2):180-192

September 1, 2004

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 2: Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume

Heather A. Vallier et al. J Bone Joint Surg Am 2004;os-86:180-192

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 3: Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume

Heather A. Vallier et al. J Bone Joint Surg Am 2004;os-86:180-192

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 4: Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume

A computerized tomography scan provides additional information about the locations and sizes of the fracture fragments for preoperative planning.

Heather A. Vallier et al. J Bone Joint Surg Am 2004;os-86:180-192

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 5: Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume

Because of the irregular lateral traumatic wound and severe soft-tissue damage associated with a high-energy fracture of the talar body and neck, access through a lateral surgical approach

was not possible.

Heather A. Vallier et al. J Bone Joint Surg Am 2004;os-86:180-192

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 6: Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume

Heather A. Vallier et al. J Bone Joint Surg Am 2004;os-86:180-192

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 7: Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume

Heather A. Vallier et al. J Bone Joint Surg Am 2004;os-86:180-192

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 8: Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume

Heather A. Vallier et al. J Bone Joint Surg Am 2004;os-86:180-192

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 9: Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume

Heather A. Vallier et al. J Bone Joint Surg Am 2004;os-86:180-192

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 10: Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume

Heather A. Vallier et al. J Bone Joint Surg Am 2004;os-86:180-192

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 11: Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume

Heather A. Vallier et al. J Bone Joint Surg Am 2004;os-86:180-192

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 12: Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume

Heather A. Vallier et al. J Bone Joint Surg Am 2004;os-86:180-192

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 13: Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume

Heather A. Vallier et al. J Bone Joint Surg Am 2004;os-86:180-192

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 14: Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume

Heather A. Vallier et al. J Bone Joint Surg Am 2004;os-86:180-192

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 15: Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume

Heather A. Vallier et al. J Bone Joint Surg Am 2004;os-86:180-192

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 16: Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume

Heather A. Vallier et al. J Bone Joint Surg Am 2004;os-86:180-192

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 17: Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume

Heather A. Vallier et al. J Bone Joint Surg Am 2004;os-86:180-192

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 18: Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume

Heather A. Vallier et al. J Bone Joint Surg Am 2004;os-86:180-192

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 19: Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume

Heather A. Vallier et al. J Bone Joint Surg Am 2004;os-86:180-192

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 20: Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume

Heather A. Vallier et al. J Bone Joint Surg Am 2004;os-86:180-192

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 21: Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume

Heather A. Vallier et al. J Bone Joint Surg Am 2004;os-86:180-192

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 22: Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume

Heather A. Vallier et al. J Bone Joint Surg Am 2004;os-86:180-192

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 23: Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume

A drawing depicting the technique of obtaining the talar neck view described by Canale and Kelly5.

Heather A. Vallier et al. J Bone Joint Surg Am 2004;os-86:180-192

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 24: Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume

An intraoperative view described by Canale and Kelly displays the axial alignment of the talus.

Heather A. Vallier et al. J Bone Joint Surg Am 2004;os-86:180-192

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 25: Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume

Heather A. Vallier et al. J Bone Joint Surg Am 2004;os-86:180-192

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 26: Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume

Heather A. Vallier et al. J Bone Joint Surg Am 2004;os-86:180-192

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 27: Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume

Heather A. Vallier et al. J Bone Joint Surg Am 2004;os-86:180-192

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 28: Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume

Heather A. Vallier et al. J Bone Joint Surg Am 2004;os-86:180-192

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 29: Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume

Heather A. Vallier et al. J Bone Joint Surg Am 2004;os-86:180-192

©2004 by The Journal of Bone and Joint Surgery, Inc.

Page 30: Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume

Heather A. Vallier et al. J Bone Joint Surg Am 2004;os-86:180-192

©2004 by The Journal of Bone and Joint Surgery, Inc.

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