Fractures of the talar neck. A mechanical study of fixation.

Swanson, Todd V.; Bray, Timothy J.; Holmes, George B.

doi:10.2106/00004623-199274040-00010

Cited by 94 publications

(42 citation statements)

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“…The posterolateral approach allows extraarticular introduction of the cannulated screw 4 and provides mechanically superior fixation. 7 Late arthrosis remains a potential risk but given the functional result at 6 months this is unlikely and his prognosis is good.…”

Section: Discussionmentioning

confidence: 99%

A fracture of the talar neck associated with a talocalcaneal bar

2005

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Section: Discussionmentioning

confidence: 99%

A fracture of the talar neck associated with a talocalcaneal bar

2005

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“…The placement of screws by a posterior small incision (no. 3) with direction from posterolateral to anteromedial is considered more stable biomechanically and does not affect talar body vascularity [29]. However, this approach does not allow good visualization of subtalar articulation and use of fluoroscopy is mandatory for proper placement of screws in the talar neck.…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Talar Neck Fractures

Tyllianakis

Karageorgos

Papadopoulos

et al. 2004

European Journal of Trauma

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Background: Consideration of gravity of talar neck fractures and evaluation of the treatment results. Patients and Methods: 22 patients suffering from talar neck fractures were retrospectively reviewed. There were ten type A, six type B, three type C, and three type D fractures according to the Hawkins classification modified by Canale & Kelly. All patients underwent open reduction and internal fixation. Results: Excellent clinical results were observed in 45.4%, good in 27.2%, fair in 18.1%, and poor in 9.1% of the patients according to the Iowa Ankle Evaluation score. Two patients developed avascular necrosis (AVN) with body collapse, and tibiotalar fusion was required. Furthermore, five patients developed symptomatic subtalar arthritis but did not require subtalar fusion. Conclusion: Accurate early open reduction is considered the treatment of choice for such types of fractures. AVN is associated with late management, while subtalar arthritis does not necessarily lead to subtalar fusion.

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“…The fragments are fi xed temporarily with K-wires. Osteosynthesis with screws provides adequate stability for the most talar fracture types [ 61 ] (Fig. 28.7 ).…”

Section: Talar Neck and Body Fracturesmentioning

confidence: 99%

Foot and Ankle Injuries

Rein

Tan

Rammelt

et al. 2014

Bone and Joint Injuries

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Man's foot is all his own. It is unlike any other foot. It is the most distinctly human part of the whole of his anatomical make-up.Wood Jones (1944) [ 1 ]The goal of this chapter is to further the understanding of pathomechanisms, performing diagnostics and reconstructing of injured feet, and to demonstrate ways to treat malunions and nonunions. Regaining anatomic joints if possible and rebuilding the normal shape of the foot, even by fusion of joints, is a safe way to avoid pain and to restore function. Anatomy of the FootThe human foot contains 28 bones and is divided into three parts: the forefoot, the midfoot, and the hindfoot ( Fig. 28.1 ) [ 3 , 4 ]. ForefootThe forefoot contains the fi ve metatarsals and toes with two sesamoids under the fi rst metatarsal head and an inconstant sesamoid beneath the fi rst interphalangeal joint. Six weight-bearing surfaces are located at the metatarsophalangeal level (two sesamoids and four lesser metatarsal heads) and fi ve weight-bearing surfaces are located under the distal phalanges in a normal foot.The metatarsals are short tubular bones with a base, shaft, neck, and head. The heads of the metatarsals are strongly connected by the intermetatarsal ligaments. The fi fth metatarsal has a tuberosity at its base, where the plantar aponeurosis, the peroneus brevis, and the peroneus tertius tendon insert.The fi rst toe has two phalanges and the other four toes have three phalanges. The fi rst metatarsal is slightly shorter, broader, and more mobile than the three middle metatarsals, and normally bears as much as one-third to one-half of the body weight through the forefoot and plays a key role in the gait cycle. The metatarsophalangeal joints are ellipsoidal joints, but only the fi rst and fi fth rays allow fl exion/extension and ab-/adduction. The joint capsules are strengthened by collateral ligaments on either side.The two sesamoids at the fi rst metatarsophalangeal joint are well embedded in the capsuloligamentous complex; the medial (tibial) sesamoid is larger than the lateral (fi bular) sesamoid, corresponding to its more important role in weight bearing within the medial sulcus of the metatarsal head.The sesamoids are held together by the strong intersesamoid ligament and the plantar plate, which is fi rmly attached at the base of the proximal phalanx and loosely attached at the neck of the metatarsal via the capsule. The sesamoids are located within the two slips of the fl exor hallucis brevis tendon. The abductor hallucis tendon inserts at the medial sesamoid, the adductor hallucis tendon at the fi bular sesamoid.

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Fractures of the talar neck. A mechanical study of fixation.

Cited by 94 publications

References 0 publications

A fracture of the talar neck associated with a talocalcaneal bar

A fracture of the talar neck associated with a talocalcaneal bar

Surgical Treatment of Talar Neck Fractures

Foot and Ankle Injuries

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