Journal of Shandong University (Health Sciences) ›› 2019, Vol. 57 ›› Issue (11): 60-64.doi: 10.6040/j.issn.1671-7554.0.2019.659

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Talar neck approach for debridement and bone grafting to treat talar cyst

XU Wenpeng, HU Yong, LI Zhengxun, ZHANG Ning, CHENG Ruilin, HUANG Zheng   

  1. Department of Foot &
    Ankle Surgery, Second Hospital of Shandong University, Foot &
    Ankle Surgery Center of Shandong University, Jinan 250033, Shandong, China
  • Published:2022-09-27

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Abstract: Objective To explore the application and efficacy of talar neck approach for debridement and bone grafting in the treatment of talar cyst. Methods Clinical data of 9 cases of talar cysts treated during Jul. 2014 and Dec. 2017 were retrospectively analyzed, including 7 males and 2 females, aged 11~47 years, average 30.6 years. The lesions involved 5 left feet and 4 right feet. X ray, CT and MRI were performed before operation to evaluate the size of cysts and articular surfaces involved. During operation, all lesions were debrided with talar neck approach, and bone defects were repaired with autologous cancellous bones harvested from iliac crests. After operation, the functions of ankles were evaluated with AOFAS score. Results All 9 cases were followed up for 8-20 months, average 12.4 months. All bone defects were repaired, and ankle pain was significantly alleviated. The AOFAS score rose from 70.2(60-82)to 92(85-100). The ankles could function normally. No infection, recurrence or complication were observed. Conclusion Talar neck approach for debridement and bone grafting is effective to treat talar cyst. This non-traumatic way does not damage the articular cartilage or adjacent ligament tissues, does not affect blood supply of the talus, and can shorten the hospitalization time.

Key words: Talar cyst, Talar neck approach, Lesion debridement, Bone grafting

CLC Number: 

  • R658
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