Fracture of talus with Salter-Harris injury of the distal end of tibia is a rare injury in paediatric age group. The authors report a case of a 13-year-old male child who sustained type IV Salter-Harris injury to the medial malleolus with coronal spilt along with spilt and depressed fracture of the neck of talus and fracture of the lateral process of talus with stable compression fracture of spine sustained due to fall from 6 meters height. CT scan delineated the morphology of fracture pattern and helped in preoperative planning. Talar articular fracture was reduced and fixed arthroscopically while distal tibial fracture was fixed under image intensifier. We observed favourable outcome following arthroscopic reduction at 4-year follow-up.
Background: Due to the large number of accidents, femur and tibia for Ipsilateral injuries eventually occur; floating injuries are likely to take place. The study was conducted to evaluate the results of surgery for adults with ipsilateral femoral and tibial fractures. Methodology: The study included 15 patients aged 20 to 60. According to Fraser et al, fractures are classified as Type I (5), IIa (3), IIb (4) and IIc (3). Femur fractures were treated using locked intramedullary nails plate-screws, or dynamic condylar screws.Tibia fractures were treated with an external fixator (in open fractures), or plate-screws, and locked intramedullary nailing. The average follow-up period is 2.1 years. Investigations for chest, pelvis, affected lower limbs, including joints and other bone injury were investigated by x-ray. Result: The mean age of the study group was 39.46 years. The time taken from admission to surgery is 2 days (1 to 11 days). The average followup time was 23.5 months (from 20 to 25 months). Most of the cases showed better results (66.7%) in extent of bonyunions, followed by good (20%), acceptable (6.7%) and poor (6.7%), according to the criteria of Karlstrom. Conclusion: Injury and fractures (openness, straightening, congestion) are predictive factors in the floating knee. The complete adequacy of critical injury-related conflicts includes fractures and post-surgical rehabilitation.
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