Operative Management of a Pediatric Talar Body and Neck Fracture: A Case Report

Wohler, Andrew; Ellington, J. Kent

doi:10.1053/j.jfas.2019.08.008

Cited by 3 publications

(3 citation statements)

References 10 publications

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“…This has been described specifically only once in previous literature [9]. Other reports have described bilateral talar neck involvement, entrapment of the neurovascular and tendinous structures, concomitant talar, malleolar, and calcaneal fractures [10][11][12][13][14][15]. We offer an updated report to highlight treatment decision-making in timing, reduction, and fixation, along with patient outcomes.…”

Section: Introductionmentioning

confidence: 75%

An Unusual Inverted Talar Neck Fracture–Dislocation

Kokubun

Refaat

2022

Case Reports in Orthopedics

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Talar neck fractures occur on a continuum of injury severity. Hawkins classification, later modified by Canale, is the gold standard method of describing talar neck fractures by the degree of dislocation. It has proven to be clinically relevant in predicting risk of osteonecrosis. Despite its merits, talar neck fractures present on a wide spectrum of involvement of the body and neck, dislocation, and concomitant injuries, making every situation a challenge in treatment. We present a unique case of a talar neck fracture in which the talar dome had dislocated and inverted 180°, which is not described in the widely used Hawkins classification. We recommend urgent open reduction, low threshold for use of a transcalcaneal traction pin and dual incisions, and guarded prognosis of osteonecrosis and posttraumatic arthritis.

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Section: Introductionmentioning

confidence: 75%

An Unusual Inverted Talar Neck Fracture–Dislocation

Kokubun

Refaat

2022

Case Reports in Orthopedics

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“…The surgical intent is mostly about restoration of the articular surface and alignment, both in children and adults 4,13 . Traditional surgery such as open reduction and internal fixation is indicated in most of the cases [2][3][4] , but most patients may develop osteonecrosis or post-traumatic arthritis 5,21 . The use of Ilizarov device has been reported in other fractures 6,7 .…”

Section: Discussionmentioning

confidence: 99%

“…It articulates with the tibia and fibula supralaterally, the navicular bone distally, and the calcaneus inferiorly 1 . Talus fractures are uncommon, especially in children 2 , 3 . These account for approximately 1% of all fractures, and 3%–6% of all foot fractures 4 .…”

Section: Introductionmentioning

confidence: 99%

Use of Ilizarov Device to Gain Early Range of Motion in the Treatment of Pediatric Talus Body Fractures: A Series of Four Cases and Literature Review

Zhu

Chu

Li³

et al. 2022

Orthopaedic Surgery

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Background Talus fractures are rare in children but can lead to severe outcomes if untreated. The Ilizarov external fixator has been used in the treatment of a variety of lower extremity pathologies. The purpose of this study was to investigate the clinical outcomes of talus body fractures treated with the Ilizarov external fixator. Case Presentation Four male pediatric patients (age range, 5–11 years) with talus body fractures who were treated by open reduction and internal fixation combined with Ilizarov external fixator between November 2015 and April 2016 were reviewed. Mean follow‐up period was 4 years (range, 4–5). Clinical outcome was evaluated using the clinical rating scale of the American Orthopaedic Foot and Ankle Society (AOFAS). All four patients achieved good to excellent results at the last follow‐up. None of the patients developed avascular necrosis. One patient developed automatic fusion of tibiotalar joint. Conclusion Use of the Ilizarov external fixator to gain early range of motion is a valuable option for treatment of talus body fractures in children.

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