{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T04:40:16Z","timestamp":1777610416873,"version":"3.51.4"},"reference-count":52,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[1996,5,1]],"date-time":"1996-05-01T00:00:00Z","timestamp":830908800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[1996,5]]},"abstract":"<jats:p>The results were reviewed for 11 ankles (10 patients) that had been treated with various hindfoot arthrodeses because of symptomatic osteonecrosis of the talus. Follow-up averaged 6.5 years (range, 2\u201315 years). A functional assessment using a modified Mazur grading system was performed both before surgery and at final follow-up. Data were also collected on the duration of the procedure, intraoperative findings, and the patient's assessment of postoperative cosmesis (excellent, good, fair, or poor). Radiographs were analyzed to determine the interval from the procedure until bony union.<\/jats:p>\n                  <jats:p>\n                    Nine of the 11 arthrodeses (82%) fused with the primary procedure and achieved excellent Mazur ratings (mean, 86 points; range, 81\u201390 points). The average interval until radiographic fusion was 7 months (range, 4\u201313 months). All eight patients (nine fusions) with successful fusions graded their cosmetic outcomes as excellent or good. The average length of the procedure was 148 minutes (range, 130\u2013300 minutes), compared with an average of 92 minutes (range, 62\u2013151 minutes) for ankle arthrodeses performed by the same surgeons in rheumatoid or osteoarthritic ankles (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001) and 102 minutes (range, 75\u2013164 minutes) from a report in the literature. Two of the procedures were complicated by nonunions secondary to infections. In one patient, after treatment by debridement and intravenous antibiotics, reinfection and chronic osteomyelitis developed with a subsequent below-knee amputation. The other patient was treated successfully with debridement, antibiotics, and subsequent revision arthrodesis, which fused solidly at 9 months with an excellent result.\n                  <\/jats:p>\n                  <jats:p>We conclude that hindfoot arthrodeses for osteonecrosis can be technically demanding, but, despite having a long time to bony union, they can have an excellent clinical outcome.<\/jats:p>","DOI":"10.1177\/107110079601700507","type":"journal-article","created":{"date-parts":[[2013,3,3]],"date-time":"2013-03-03T03:31:12Z","timestamp":1362281472000},"page":"275-282","source":"Crossref","is-referenced-by-count":39,"title":["Osteonecrosis of the Talus: Treatment by Hindfoot Fusion"],"prefix":"10.1177","volume":"17","author":[{"given":"Marc W.","family":"Urquhart","sequence":"first","affiliation":[{"name":"Orthopaedic Department, The Johns Hopkins University School of Medicine, and Department of Orthopaedic Surgery, Division of Arthritis Surgery, The Good Samaritan Hospital, Baltimore, Maryland."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael A.","family":"Mont","sequence":"additional","affiliation":[{"name":"Orthopaedic Department, The Johns Hopkins University School of Medicine, and Department of Orthopaedic Surgery, Division of Arthritis Surgery, The Good Samaritan Hospital, Baltimore, Maryland."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James D.","family":"Michelson","sequence":"additional","affiliation":[{"name":"Orthopaedic Department, The Johns Hopkins University School of Medicine, and Department of Orthopaedic Surgery, Division of Arthritis Surgery, The Good Samaritan Hospital, Baltimore, Maryland."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth A.","family":"Krackow","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Buffalo General Hospital, Buffalo, New York."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David S.","family":"Hungerford","sequence":"additional","affiliation":[{"name":"Orthopaedic Department, The Johns Hopkins University School of Medicine, and Department of Orthopaedic Surgery, Division of Arthritis Surgery, The Good Samaritan Hospital, Baltimore, Maryland."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1996,5]]},"reference":[{"issue":"1","key":"e_1_3_1_2_1","first-page":"66","article-title":"Corticosteroid-induced avascular necrosis of the talus","volume":"30","author":"Adleberg J.S.","year":"1991","unstructured":"1. Adleberg J.S., Smith G.H.: Corticosteroid-induced avascular necrosis of the talus. J. Foot Surg., 30 (1):66\u201369, 1991","journal-title":"J. Foot Surg."},{"key":"e_1_3_1_3_1","doi-asserted-by":"publisher","DOI":"10.3109\/17453678108991768"},{"key":"e_1_3_1_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780271115"},{"key":"e_1_3_1_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM195301082480203"},{"key":"e_1_3_1_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(43)90501-X"},{"key":"e_1_3_1_7_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198769070-00014"},{"key":"e_1_3_1_8_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199072040-00013"},{"key":"e_1_3_1_9_1","first-page":"567","article-title":"Steroid-induced osteonecrosis: a review","volume":"24","author":"Cruess R.J.","year":"1981","unstructured":"8. Cruess R.J.: Steroid-induced osteonecrosis: a review. Can.J. Surg., 24:567\u2013581, 1981","journal-title":"Can.J. 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