Fracture of the Body of the Talus

Abstract

Fifty-one patients with fracture of the body of the talus were seen at follow-up examination an average of 23 months after treatment. Osteonecrosis had developed in 8 out of 17 patients with displaced shearing or crush fractures of the trochlea. Malunion as well as subluxation predisposed to osteoarthrosis in the subtalar and talocrural joints. Thus, osteoarthrosis was present in 9 out of 21 patients without malunion, in 8 out of 16 patients with malunion, and in 11 out of 14 with malunion as well as subluxation. Judging from the nature of the complaints, the difficulties in rehabilitation, and the disability assessment, the prognosis was fairly grave, also after the small, usually non-displaced fractures of the posterior and lateral tubercles. Out of 20 patients with fractures of this type only 6 obtained almost complete relief from their symptoms, only 8 could go back to their previous work on a full-time basis, and 11 were assessed to be 10 per cent or more disabled. Fractures in the posterior and lateral tubercles must therefore be interpreted as links in more extensive injuries involving the subtalar joint and possibly the talocrural joint with associated injuries to articular cartilage, joint capsules, and ligaments.

Corrective arthrodeses and osteotomies for post-traumatic hindfoot malalignment: indications, techniques, results

“…However, symptomatic subtalar arthritis develops rapidly after these injuries and in situ fusion of the subtalar joint may become necessary [7,19].…”

Fracture Bilateral Talus in Children

“…Fractures of the body of the talus in the immature skeleton are rarely encountered [8]. Less common is the scenario where there is a talus fracture that is associated with an ankle fracture and dislocation in children.…”

Treatment of Talar Body Fractures with Closed Reduction and Percutaneous Fixation

“…If the talar body fracture cannot be completely exposed, a medial malleolar osteotomy gives much better access. Osteonecrosis may be less likely to occur when fracture of the talus is accompanied by a fracture of the malleolus, which preserves the soft tissue attachments to the talar body fragment 6 .…”

“…Sneppen et al 6 classified talar body fractures into five groups: 1. Compression injuries; 2) Shear fracture (coronal, sagittal or horizontal); 3) Posterior process fracture; 4) Lateral process fracture; 5) Crush fracture.…”

“…Talar body fractures of the talus are uncommon accounting for 7-38% of all talus fractures [4][5][6] . A combined talar body fracture and medial malleolus fracture is rare.…”