Abstracts / Injury Extra 41 (2010) 131-166 135 criteria. Thirty-one males and 9-females were analysed, all of whom had closed injuries. The median age and ISS was 28 years (19-62) and 4 (4-42) respectively. The majority (86%) of the injuries were a result of falls-from-height and road-traffic-accidents. Ten had associated injuries including; 2-polytrauma (ISS > 16), one Achilles tendon rupture, a distal radius fracture and a contralateral ankle sprain. Injury patterns included: 17-neck (35-6-29-29% for Hawkins I-II-III-IV respectively), 8-body and 15-osteochondral fractures.Twenty-two (55%) were treated operatively. The median time to weight-bearing was 12 weeks (6-60). Overall recorded complications included: one superficial and one deep infection that eventually required an above ankle amputation. No patients developed a vascular necrosis.At final follow-up the patients scored excellent in 5, good in 28, fair in 2, and poor in 5 cases. Thirty-five (87.5%) were able to return to their pre-injury employment. Five (12.5%) had to shift to lighter duties, while their pain was described as severe and was associated with post-traumatic osteoarthritis evident radiologically over a minimum period of 8months.Conclusion: In conclusion, talar injuries represent a small percentage of the overall trauma workload. They have a higher incidence in young males and vary significantly to the method of treatment, mobilisation, and time-of-follow-up. A fair to good short-midterm outcome and a return-to-work should be anticipated for the majority of patients.
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