医学
缺血性坏死
关节置换术
外科
病因学
假肢
关节置换术
股骨头
病理
作者
Hanci Zhang,Amanda N. Fletcher,Daniel J. Scott,James A. Nunley
标识
DOI:10.1177/10711007211051013
摘要
Avascular osteonecrosis (AVN) of the talus (AVNT) is a painful and challenging clinical diagnosis. AVNT has multiple known risk factors and etiologies and presents at different stages in severity. Given these unique factors, the optimal treatment solution has yet to be determined. Both joint-preserving and joint-sacrificing procedures are available, including core decompression and arthrodeses. Recently, new salvage and replacement techniques have been described including vascularized pedicle bone grafts and total talus replacement using patient-specific prosthesis; however, evidence remains limited. This review examines the current trends AVNT treatment and the emerging data behind these novel techniques.
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