title: Secondary Reconstruction for Malunions and Nonunions of the Talar Body.
abstract: Malunions and nonunions after central or peripheral fractures of the talar body frequently lead to pain and disability. In properly selected, compliant patients without symptomatic arthritis or total avascular necrosis leading to collapse of the talar dome, and sufficient bone stock, secondary anatomic 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. Malunions and nonunions of the lateral or posterior process are treated with excision of the malunited or loose fragments.
authors.affiliation: Foot & Ankle Section, University Center for Orthopaedics & Traumatology, University Hospital Carl Gustav Carus at the TU Dresden, Fetscherstrasse 74, Dresden 01307, Germany.
authors.forename: Hans
authors.initials: H
authors.lastname: Zwipp
authors.affiliation: Foot & Ankle Section, University Center for Orthopaedics & Traumatology, University Hospital Carl Gustav Carus at the TU Dresden, Fetscherstrasse 74, Dresden 01307, Germany. Electronic address: strammelt@hotmail.com.
authors.forename: Stefan
authors.initials: S
authors.lastname: Rammelt
mesh_terms: D001168:Arthritis / Q000209:etiology / Q000517:prevention & control; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000150:complications / Q000601:surgery; D017759:Fractures, Malunited / Q000150:complications / Q000601:surgery*; D005599:Fractures, Ununited / Q000150:complications / Q000601:surgery*; D006801:Humans; D010027:Osteotomy; D019651:Plastic Surgery Procedures; D013628:Talus / Q000293:injuries / Q000601:surgery*
keywords: Correction; Fracture; Malunion; Nonunion; Osteotomy; Talus