Arthroplasty in the treatment of patients with avascular osteonecrosis of the talus: literature review

Abstract

Introduction The paper discusses the main issues of treating patients with avascular osteonecrosis of the talus. The importance of the problem of treating patients with avascular osteonecrosis of the talus is explained by its high incidence, the difficulty of diagnosis in the early stages of the disease and poor treatment results with the use of traditional methods. Рurpose Based on the analysis of foreign and domestic literature, to determine the current state of the problem of surgical treatment of avascular osteonecrosis of the talus and to identify the range of possible surgical interventions in patients with the pathology under the study, to analyze in historical retrospect the arthroplasty of the talus bone due to its total involvement in the pathological process. Materials and methods The review analyzes the literature on this topic, in which 79 foreign studies, published in the period from 1911 to 2021, were selected along with 9 domestic publications for the period from 2011 to 2021. PubMed, MedLine and eLibrary Internet resources were used to search for publications. Results Based on the literature data, the issues of the history, etiology, pathogenesis, systematization and diagnosis of this disease are highlighted. The existing methods of treatment have been analyzed along with their advantages and shortcomings. Conclusion The analysis of current professional literature has demonstrated the preference of the method of talus bone arthroplasty in its total avascular osteonecrosis, in comparison with arthrodesis of the joints of the hind foot of various extent. Nowadays, the technology of arthroplasty of the talus bone is scientifically sound, biomechanically confirmed and effective for the treatment of patients with avascular osteonecrosis of the talus bone and its consequences, while the demand for this technology has been growing all over the world. There is a constant improvement of tools, technologies, methods and materials.

Keywords

• аvascular necrosis
• aseptic necrosis
• osteonecrosis
• osteochondroplasty
• arthrodesis
• endoprosthesis
• ankle joint
• talus bone
• ceramic endoprosthesis
• cobalt chromiumtalus
• bone endoprosthesis
• zirconia ceramics