Avascular necrosis of the talus treated by core decompression

Michael A. Mont, Lew C. Schon, Marc W. Hungerford, David S. Hungerford

Research output: Contribution to journalArticle

Abstract

We reviewed 11 patients (17 ankles) who had had core decompression for symptomatic avascular necrosis of the talus before collapse. The Mazur grading system was used to assess function preoperatively and at final follow-up, and radiographs were graded according to the Ficat and Arlet (1980) classification modified for the ankle. At a mean follow-up of seven years (2 to 14) 14 ankles (82%) had an excellent or good outcome (Mazur scores > 80 points; pain scores > 40 points (41 to 50)). The other three ankles required tibiotalar fusion at a mean of 13 months (5 to 20) after core decompression. We conclude that core decompression is a viable method of treatment for symptomatic avascular necrosis of the talus before collapse.

Original languageEnglish (US)
Pages (from-to)827-830
Number of pages4
JournalJournal of Bone and Joint Surgery - Series B
Volume78
Issue number5
DOIs
StatePublished - 1996

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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