The role of cadaveric simulation in talus fracture research: A scoping review.
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Authors
Barker, T
Yan, M
Hussain, A
Kapur, K
Brassett, C
Pasapula, C
Norrish, AR
Publication Date
2022-12Journal Title
Foot Ankle Surg
ISSN
1268-7731
Publisher
Elsevier BV
Type
Article
This Version
AM
Metadata
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Barker, T., Yan, M., Hussain, A., Kapur, K., Brassett, C., Pasapula, C., & Norrish, A. (2022). The role of cadaveric simulation in talus fracture research: A scoping review.. Foot Ankle Surg https://doi.org/10.1016/j.fas.2022.06.005
Abstract
BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.
Keywords
Approach, Avascular necrosis, Cadaver, Fixation, Fracture, Talus, Humans, Fracture Fixation, Internal, Bone Screws, Ankle Fractures, Talus, Fractures, Bone, Bone Plates
Embargo Lift Date
2023-06-30
Identifiers
External DOI: https://doi.org/10.1016/j.fas.2022.06.005
This record's URL: https://www.repository.cam.ac.uk/handle/1810/338948
Rights
Attribution-NonCommercial-NoDerivatives 4.0 International
Licence URL: https://creativecommons.org/licenses/by-nc-nd/4.0/
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