距骨摘出術
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/09/13 12:05:39」(JST)
[Wiki en表示]
| Talus bone |
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Subtalar Joint
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| Latin |
Astragalus |
| Gray's |
p.266 |
| MeSH |
Talus |
| Anatomical terms of bone |
Astragalectomy, sometimes called a talectomy, is a surgical operation for removal of the talus bone (astragalus) for stabilization of the ankle.
Historically, an astragalectomy was used in cases of severe ankle trauma and congenial talipes equinovarus (clubfoot). It is no longer a common operation, but is still used in cases of a deformed calcaneus, foot paralysis following poliomyelitis, and rigid clubfoot deformities that are secondary to spina bifida or arthrogryposis (AMC). The surgery is also performed in severe cases of pulverized or infected open fractures.
Generally, the surgical procedure involves making an anterolateral incision, stripping the ligaments from both malleoli and the calcaneus so that the foot can be displaced posteriorly. The talus is then resected, and the foot is placed so that the lateral malleolus rests opposite the calcaneocuboid joint, and the medial malleolus lies just above and behind the navicular bone. The foot is held in place with a surgical pin or with Kirschner wire. After the operation, the patient wears an above-knee cast for six weeks, followed by a below-knee cast for eighteen weeks.
References
- Podiatry procedures and surgeries
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Orthopedic surgery, operations/surgeries and other procedures on bones and joints (ICD-9-CM V3 76–81, ICD-10-PCS 0P–S)
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| Bones |
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Facial
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- Jaw reduction
- Dentofacial osteotomy
- Genioplasty/Mentoplasty
- Orthognathic surgery
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Spine
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- Coccygectomy
- Laminotomy
- Laminectomy
- Laminoplasty
- Corpectomy
- Facetectomy
- Foraminotomy
- Vertebral fixation
- Percutaneous vertebroplasty
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Upper extremity
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Acromioplasty
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Lower extremity
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- Femoral head ostectomy
- Astragalectomy
- Distraction osteogenesis
- Ilizarov apparatus
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General
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- Ostectomy
- Bone grafting
- Osteotomy
- Epiphysiodesis
- Reduction
- Internal fixation
- External fixation
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| Cartilage |
- Articular cartilage repair
- Knee cartilage replacement therapy
- Autologous chondrocyte implantation
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| Joints |
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Spine
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- Arthrodesis
- Intervertebral discs
- Discectomy
- Annuloplasty
- Arthroplasty
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Upper extremity
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- Shoulder surgery
- Shoulder replacement
- Bankart repair
- Weaver–Dunn procedure
- Ulnar collateral ligament reconstruction
- Hand surgery
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Lower extremity
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- Hip resurfacing
- Hip replacement
- Rotationplasty
- Anterior cruciate ligament reconstruction
- Knee replacement/Unicompartmental knee arthroplasty
- Ankle replacement
- Broström procedure
- Triple arthrodesis
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General
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- Arthrotomy
- Arthroplasty
- Synovectomy
- Arthroscopy
- Replacement joint
- imaging: Arthrogram
- Arthrocentesis
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anat (c/f/k/f, u, t/p, l)/phys/devp/cell
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noco/cong/tumr, sysi/epon, injr
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noco (arth/defr/back/soft)/cong, sysi/epon, injr
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English Journal
- [Charcot foot treated by correction and arthrodesis of the hindfoot].
- Wagner A1, Fuhrmann R, Roth A.
- Operative Orthopadie und Traumatologie.Oper Orthop Traumatol.2005 Oct;17(4-5):554-62.
- THE PROBLEM: First patient: neuropathic osteoarthropathy with severely deformed foot, plantar ulceration and recurrent purulent infections. Second patient: diabetic osteoarthropathy with pathologic fracture.CLINICAL FINDINGS: First patient: 50-year-old man with hereditary sensory and motor neuropath
- PMID 16331388
- Congenital deficiency of the tibia: a report on 22 cases.
- Fernandez-Palazzi F1, Bendahan J, Rivas S.
- Journal of pediatric orthopedics. Part B.J Pediatr Orthop B.1998 Oct;7(4):298-302.
- Congenital deficiency of the tibia (tibial hemimelia, aplasia, or dysplasia) is very rare, with an incidence of approximately 1 per 1 million live births. The disorder usually is accompanied by other congenital anomalies on the same limb or other parts of the body. A report is made of 22 limbs obser
- PMID 9810529
- Astragalectomy in children. Results, technics, and indications based on personal experience in 33 cases.
- Padovani JP, Rigault P, Pouliquen JC, Guyonvarch G, Durand Y.
- Revue de chirurgie orthopedique et reparatrice de l'appareil moteur.Rev Chir Orthop Reparatrice Appar Mot.1976 Jun;62(4):475-85.
- The authors have operated on 33 equinovarus feet, (14 patients) with various condition--myelomeningocele, arthrogryposis, club foot or dwarfism. The results were poor, only 11 being satisfactory. Some failures were due to incorrect tecunique. The authors describe the technique which they consider to
- PMID 136029
Japanese Journal
Related Links
- Astragalectomy, sometimes called a talectomy, is a surgical operation for removal of the talus bone (astragalus) for stabilization of the ankle. Historically, an astragalectomy was used in cases of severe ankle trauma and congenial talipes equinovarus ...
- astragalectomy [ah-strag″ah-lek´to-me] excision of the astragalus. as·trag·a·lec·to·my (as-trag'ă-lek'tō-mē), Removal of the astragalus, or talus. [astragalus, + G. ektomē, excision] astragalectomy (ə-străg′ə-lĕk′tə-mē) n. Surgical ...
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