The role of cadaveric simulation in talus fracture research: A scoping review
Talus fractures are rare (
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| Veröffentlicht in: | Foot and ankle surgery 2022-12, Vol.28 (8), p.1177-1182 |
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| container_title | Foot and ankle surgery |
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| creator | Barker, T. Yan, M. Hussain, A. Kapur, K. Brassett, C. Pasapula, C. Norrish, A.R. |
| description | Talus fractures are rare ( |
| doi_str_mv | 10.1016/j.fas.2022.06.005 |
| format | Article |
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Through multiple electronic database searches (Medline, Embase, Scopus) we identified a broad body of cadaveric research into talus fractures, and these were classified into 4 main themes. Study characteristics were summarised along with any descriptive results and conclusions.
The search yielded 484 articles of which 19 met the inclusion criteria. They provide valuable insights into benefits and drawbacks of surgical approaches to the talus, particularly with regard to direct visualisation of anatomic reduction, and risks of neurovascular or tendon compromise. For talar neck fractures it is clear that cannulated screws offer superior fixation over plates, however, are inferior when considering anatomic reduction of the fracture. Direct visualisation of fracture reduction is far superior to intraoperative radiographic assessment, and mal-reduction leads to reduced subtalar joint range of motion, midfoot deformity, and increased joint contact pressures.
This study provides a summary of the existing literature surrounding the use of cadaver studies in fractures of the talus. We have identified gaps in the literature, particularly surrounding strength of fixation of new locking plate fixation techniques.</description><identifier>ISSN: 1268-7731</identifier><identifier>EISSN: 1460-9584</identifier><identifier>DOI: 10.1016/j.fas.2022.06.005</identifier><identifier>PMID: 35798617</identifier><language>eng</language><publisher>France: Elsevier Ltd</publisher><subject>Ankle Fractures - surgery ; Approach ; Avascular necrosis ; Bone Plates ; Bone Screws ; Cadaver ; Fixation ; Fracture ; Fracture Fixation, Internal - methods ; Fractures, Bone - diagnostic imaging ; Fractures, Bone - surgery ; Humans ; Talus ; Talus - diagnostic imaging ; Talus - surgery</subject><ispartof>Foot and ankle surgery, 2022-12, Vol.28 (8), p.1177-1182</ispartof><rights>2022 European Foot and Ankle Society</rights><rights>Copyright © 2022 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c305t-732399c749b8fea6ff574a7e78e35d17c3ba2604355df3ad30ca14b0856fd6df3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1268773122001096$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35798617$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Barker, T.</creatorcontrib><creatorcontrib>Yan, M.</creatorcontrib><creatorcontrib>Hussain, A.</creatorcontrib><creatorcontrib>Kapur, K.</creatorcontrib><creatorcontrib>Brassett, C.</creatorcontrib><creatorcontrib>Pasapula, C.</creatorcontrib><creatorcontrib>Norrish, A.R.</creatorcontrib><title>The role of cadaveric simulation in talus fracture research: A scoping review</title><title>Foot and ankle surgery</title><addtitle>Foot Ankle Surg</addtitle><description>Talus fractures are rare (<1% of all fractures), and their rarity limits the number of studies available to guide management. In instances such as this, cadaveric studies can play an important role. The purpose of this scoping review was to identify and describe the current body of literature on cadaveric studies of fractures of the talus.
Through multiple electronic database searches (Medline, Embase, Scopus) we identified a broad body of cadaveric research into talus fractures, and these were classified into 4 main themes. Study characteristics were summarised along with any descriptive results and conclusions.
The search yielded 484 articles of which 19 met the inclusion criteria. They provide valuable insights into benefits and drawbacks of surgical approaches to the talus, particularly with regard to direct visualisation of anatomic reduction, and risks of neurovascular or tendon compromise. For talar neck fractures it is clear that cannulated screws offer superior fixation over plates, however, are inferior when considering anatomic reduction of the fracture. Direct visualisation of fracture reduction is far superior to intraoperative radiographic assessment, and mal-reduction leads to reduced subtalar joint range of motion, midfoot deformity, and increased joint contact pressures.
This study provides a summary of the existing literature surrounding the use of cadaver studies in fractures of the talus. We have identified gaps in the literature, particularly surrounding strength of fixation of new locking plate fixation techniques.</description><subject>Ankle Fractures - surgery</subject><subject>Approach</subject><subject>Avascular necrosis</subject><subject>Bone Plates</subject><subject>Bone Screws</subject><subject>Cadaver</subject><subject>Fixation</subject><subject>Fracture</subject><subject>Fracture Fixation, Internal - methods</subject><subject>Fractures, Bone - diagnostic imaging</subject><subject>Fractures, Bone - surgery</subject><subject>Humans</subject><subject>Talus</subject><subject>Talus - diagnostic imaging</subject><subject>Talus - surgery</subject><issn>1268-7731</issn><issn>1460-9584</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kD1PwzAQhi0EoqXwA1iQR5aEcxzbCUwI8SWBWMpsuc4ZXKVJsZMi_j1GLYxMdzo990rvQ8gpg5wBkxfL3JmYF1AUOcgcQOyRKSslZLWoyv20F7LKlOJsQo5iXAKAqoEfkgkXqq4kU1PyPH9HGvoWae-oNY3ZYPCWRr8aWzP4vqO-o4Npx0hdMHYYQ8Ixogn2_ZJe02j7te_e0m3j8fOYHDjTRjzZzRl5vbud3zxkTy_3jzfXT5nlIIZM8YLXtVVlvagcGumcUKVRqCrkomHK8oUpJJRciMZx03CwhpULqIR0jUynGTnf5q5D_zFiHPTKR4ttazrsx6hTb6VYrTgklG1RG_oYAzq9Dn5lwpdmoH8s6qVOFvWPRQ1SJ4vp52wXPy5W2Px9_GpLwNUWwFQyFQ86Wo-dxcYHtINuev9P_DfB3oJS</recordid><startdate>202212</startdate><enddate>202212</enddate><creator>Barker, T.</creator><creator>Yan, M.</creator><creator>Hussain, A.</creator><creator>Kapur, K.</creator><creator>Brassett, C.</creator><creator>Pasapula, C.</creator><creator>Norrish, A.R.</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202212</creationdate><title>The role of cadaveric simulation in talus fracture research: A scoping review</title><author>Barker, T. ; Yan, M. ; Hussain, A. ; Kapur, K. ; Brassett, C. ; Pasapula, C. ; Norrish, A.R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c305t-732399c749b8fea6ff574a7e78e35d17c3ba2604355df3ad30ca14b0856fd6df3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Ankle Fractures - surgery</topic><topic>Approach</topic><topic>Avascular necrosis</topic><topic>Bone Plates</topic><topic>Bone Screws</topic><topic>Cadaver</topic><topic>Fixation</topic><topic>Fracture</topic><topic>Fracture Fixation, Internal - methods</topic><topic>Fractures, Bone - diagnostic imaging</topic><topic>Fractures, Bone - surgery</topic><topic>Humans</topic><topic>Talus</topic><topic>Talus - diagnostic imaging</topic><topic>Talus - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Barker, T.</creatorcontrib><creatorcontrib>Yan, M.</creatorcontrib><creatorcontrib>Hussain, A.</creatorcontrib><creatorcontrib>Kapur, K.</creatorcontrib><creatorcontrib>Brassett, C.</creatorcontrib><creatorcontrib>Pasapula, C.</creatorcontrib><creatorcontrib>Norrish, A.R.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Foot and ankle surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Barker, T.</au><au>Yan, M.</au><au>Hussain, A.</au><au>Kapur, K.</au><au>Brassett, C.</au><au>Pasapula, C.</au><au>Norrish, A.R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of cadaveric simulation in talus fracture research: A scoping review</atitle><jtitle>Foot and ankle surgery</jtitle><addtitle>Foot Ankle Surg</addtitle><date>2022-12</date><risdate>2022</risdate><volume>28</volume><issue>8</issue><spage>1177</spage><epage>1182</epage><pages>1177-1182</pages><issn>1268-7731</issn><eissn>1460-9584</eissn><abstract>Talus fractures are rare (<1% of all fractures), and their rarity limits the number of studies available to guide management. In instances such as this, cadaveric studies can play an important role. The purpose of this scoping review was to identify and describe the current body of literature on cadaveric studies of fractures of the talus.
Through multiple electronic database searches (Medline, Embase, Scopus) we identified a broad body of cadaveric research into talus fractures, and these were classified into 4 main themes. Study characteristics were summarised along with any descriptive results and conclusions.
The search yielded 484 articles of which 19 met the inclusion criteria. They provide valuable insights into benefits and drawbacks of surgical approaches to the talus, particularly with regard to direct visualisation of anatomic reduction, and risks of neurovascular or tendon compromise. For talar neck fractures it is clear that cannulated screws offer superior fixation over plates, however, are inferior when considering anatomic reduction of the fracture. Direct visualisation of fracture reduction is far superior to intraoperative radiographic assessment, and mal-reduction leads to reduced subtalar joint range of motion, midfoot deformity, and increased joint contact pressures.
This study provides a summary of the existing literature surrounding the use of cadaver studies in fractures of the talus. We have identified gaps in the literature, particularly surrounding strength of fixation of new locking plate fixation techniques.</abstract><cop>France</cop><pub>Elsevier Ltd</pub><pmid>35798617</pmid><doi>10.1016/j.fas.2022.06.005</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1268-7731 |
| ispartof | Foot and ankle surgery, 2022-12, Vol.28 (8), p.1177-1182 |
| issn | 1268-7731 1460-9584 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Ankle Fractures - surgery Approach Avascular necrosis Bone Plates Bone Screws Cadaver Fixation Fracture Fracture Fixation, Internal - methods Fractures, Bone - diagnostic imaging Fractures, Bone - surgery Humans Talus Talus - diagnostic imaging Talus - surgery |
| title | The role of cadaveric simulation in talus fracture research: A scoping review |
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