Vascularized Pedicle Bone-Grafting from the Cuboid for Talar Osteonecrosis: Results of a Novel Salvage Procedure

The Journal of Bone and Joint Surgery. American Volume
James A Nunley, Kamran S Hamid

Abstract

Osteonecrosis of the talar body represents a complex clinical challenge with treatment options currently limited to core decompression, vascularized and nonvascularized bone-grafting, total talar replacement, and hindfoot arthrodesis. Vascularized pedicle bone-grafting from the cuboid to the talus is a potential alternative to contemporary operative options for replacement of necrotic talar tissue with viable bone. We aimed to analyze functional and radiographic outcomes of vascularized pedicle bone-grafting from the cuboid for the treatment of talar osteonecrosis in a consecutive series of patients spanning a 12-year period. Patients with osteonecrosis of the talar body and dome who underwent vascularized pedicle bone-grafting from the cuboid to the talus at our institution between 2003 and 2014 were retrospectively identified. All patients had preoperative radiographs and magnetic resonance imaging (MRI) scans and were monitored postoperatively with serial radiographs and MRI. For generic health-related quality-of-life (HRQoL) assessment, patients were given the preoperative Medical Outcomes Study Short Form-12 (SF-12) and postoperative 36-Item Short Form (SF-36) from which Physical Component Summary (PCS) and Mental Componen...Continue Reading

References

May 1, 1998·The Journal of Bone and Joint Surgery. American Volume·R E DelanoisD S Hungerford
Dec 22, 2000·Spine·J E Ware
Sep 3, 2004·The Journal of Bone and Joint Surgery. American Volume·Brett J GilbertJames A Nunley
Oct 23, 2004·Foot and Ankle Clinics·Frank HorstJames A Nunley
Nov 3, 2006·The Journal of Bone and Joint Surgery. American Volume·Charles L SaltzmanRichard Johnston
Oct 17, 2008·Journal of Reconstructive Microsurgery·Kenji KawamuraYoshinori Takakura
Sep 22, 2012·Foot & Ankle International·Felicity G FishmanJames A Nunley
Apr 9, 2013·The Journal of Hand Surgery·Hiroyoshi FujiwaraToshikazu Kubo
May 17, 2013·Plastic and Reconstructive Surgery·Nicholas T HaddockL Scott Levin
Jan 16, 2014·Hand : Official Journal of the American Association for Hand Surgery·Brian M DerbyMichael W Neumeister
Apr 2, 2014·Foot & Ankle Specialist·Christopher E GrossGeorge B Holmes

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Citations

Mar 15, 2018·Foot & Ankle Specialist·Joseph TraceySelene G Parekh
Mar 16, 2018·Foot & Ankle International·Kenneth W DeFontesEric M Bluman
Apr 25, 2020·Foot & Ankle International·Adam SaadBrian S Winters
Sep 15, 2020·Foot & Ankle Specialist·Daniel J ScottSelene G Parekh
May 20, 2019·Technology and Health Care : Official Journal of the European Society for Engineering and Medicine·A FenwickH Jansen
Oct 9, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Christopher LeeTejas Patel
Dec 15, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Selene G Parekh, Rishin J Kadakia
Nov 11, 2021·Foot & Ankle International·Hanci ZhangJames Nunley

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