Evaluation of open reduction and internal fixation in closed fracture of talus: Seven -year observational study

Abstract

Background: But because of the unique anatomical shapes and the vascular anatomy of the talus bone fracture of it is most challenging injury to manages. Despite the development in the field of diagnostics and improvement is surgical procedure, the complication is still frequent. As there is variability in the outcome of management of talus present study has been done to evaluate the outcome of open reduction and internal fixation in closed fracture of talus in our clinical scenario. Method: Patients with fracture of talus admitted in the department of orthopaedics and trauma are enrolled for this study based on inclusion and inclusion criteria. Patient were evaluated both radiologically in anteroposterior, lateral, and mortise radiographs at two weeks, six weeks, twelve weeks, and six months postoperatively and clinically as well. All patients were followed upto two year and clinical evaluation done by AOFAS is a clinician-reporting tool. Result: Among patients with type 2 fracture of neck of talus one has developed post-operative wound infection, one has developed post traumatic arthritis and two developed avascular necrosis. Among patients with type 3 fracture of neck of talus, two have developed post traumatic arthritis and two developed avascular necrosis. Among patients with type 4 fracture of neck of talus one has developed post-operative wound infection, and two developed avascular necrosis. Discussion and Conclusion: From present study we can conclude that fracture of talus is uncommon with male predominance. Fracture of neck of talus is more common than body. Anteromedial and anterolateral approach was commonly used in surgical treatment. Avascular necrosis was common in type 4 fracture of neck of talus and post traumatic arthritis was found in type 3 fracture. As per ankle hindfoot scale clinical outcome fair and good outcome was equally found and 25% patient have poor outcome.