Operative Treatment of Displaced Talus Fractures

Grob, Dieter; Simpson, Lex A.; Weber, B. G.; Bray, Timothy J.

doi:10.1097/00003086-198510000-00013

Cited by 98 publications

(57 citation statements)

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“…The most widely used classi cation of fractures is that of Marti/Weber (Marti 1978, Grob et al 1985, Sanders 1999. Talar neck fractures are classi ed by Hawkins' method (1970), together with that of Canale and Kelly (1978) to include a type IV fracture (Table 1).…”

mentioning

confidence: 99%

Surgical treatment of talus fractures

Schulze¹,

Richter²,

Russe³

et al. 2002

Acta Orthopaedica Scandinavica

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mentioning

confidence: 99%

Surgical treatment of talus fractures

Schulze¹,

Richter²,

Russe³

et al. 2002

Acta Orthopaedica Scandinavica

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“…20 Grob et al reported 37% of prevalence of post traumatic arthritis. 19 Elgafy et al found 53% prevalence of subtalar arthritis. 21 In our study, prevalence of overall post traumatic arthritis was 53% (ankle arthritis 25%, subtalar arthritis 28%).…”

Section: 10mentioning

confidence: 98%

“…18 Grob et al reported 16% osteonecrosis rate in a series in which 28 of 41 talar fractures were fixed surgically within 8 hours after injury. 19 They have attributed the low osteonecrosis rates to early fixation. In our study, prevalence of osteonecrosis was 22% (4% in type II, 4% in type III and 14% in type IV).…”

Section: 10mentioning

confidence: 99%

Evaluation of talus fractures treated with fixation- correlation of functional outcome with the fracture type and wound condition

et al. 2018

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Background: Fractures of talus are one of the most difficult ones to treat owing to the problems of complicated fracture patterns, wound problems, risk of osteonecrosis etc. This study aims to evaluate the relation of the fracture type and wound with the functional outcome after open reduction and fixation.Methods: The study was conducted in Sir J. J. Group of Hospitals from June 2014 to March 2018. A consecutive series of 28 patients with displaced fractures of talus were selected after approval from ethical committee. All patients were operated and evaluated at average of 6 months after surgery.Results: The Hawkins score was used to evaluate the functional outcome. 60% of patients of type II gained good to very good score as compared to 40% of patients of type III and 30% of type IV. With increase in severity of the fracture, percentage of score decreased.Conclusions: Most precise method of restoring and maintaining the anatomy of talus fracture is open reduction and internal fixation to allow early motion. Surgery for displaced fractures consists of anatomically correct reconstruction to avoid articular surface incongruence and angular deformity as well as preservation and rapid restoration of talar blood supply. This will ensure early mobilization and satisfactory outcome. Open fractures have worse functional outcome than closed fractures owing to lower union rates, higher osteonecrosis rates and higher re-operation and infection rates.

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“…9,10 The frequent incidence of serious complications of skin dehiscence, non-union, osteonecrosis, neurovascular injuries, pain, stiffness and post traumatic arthritis of the subtalar and the ankle joint , leads to high risk of unsatisfactory results. Still, the talus fracture remain among the most interesting and difficult injuries in orthopaedic trauma.…”

Section: Introductionmentioning

confidence: 99%

“…9,15 Patients with significant soft tissue injury had less satisfactory results. Type I and II have better union rate and less AVN percentage as compared to type III and type IV.…”

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Management of fracture of neck talus and clinical evaluation of results

et al. 2016

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INTRODUCTIONOnly 2% of all lower extremity injuries and 5%-7% of foot injuries involve fracture of talus.1 Talus is second most commonly fractured tarsal bone after calcaneus. 2 Fracture and dislocations of talus are infrequently encountered injuries; but are challenging injuries. So also, scarce evidence is available in the literature on these fractures and its management. Overall talus neck fracture account for 50% of these injuries. Many controversies surround the treatment of talus neck fracture which reflects the difficulty of assessment, surgical approach, fixation method and frequency of post-op complications. 2 ABSTRACTBackground: Fracture of neck of talus is rare and serious injury with significant complication rate. The talus is involved in about 2% of all lower extremity injuries and about 5-7% of foot injuries. Talus neck fixation is associated with serious complications such as stiffness at ankle and subtler joint, AVN of body of talus, ankle arthritis and later on subtalar arthritis. The objective was to study and evaluate the operative treatment for talus neck fracture. Methods: All adult patients with talus neck fracture admitted in government medical college and hospital, Latur, Maharashtra, India from January 2006 to December 2015 were involved. There were 15 patients with 10 males and 05 females. Fractures were classified as per Hawkins classification and were treated with closed/open reduction and internal fixation with CC screws. Results: All patients were followed prospectively post operatively and clinical and radiological evaluation was done. Results were analyzed. We noted skin complications in 02 patients and rate of consolidation was 60-70%. The final follow-up examination included determination of the AHS score (ankle-hind foot scale) from the American orthopaedic foot and ankle society (AOFAS), range of motion evaluation and radiological analysis. Conclusions: Displaced talar neck fractures are a therapeutic challenge which has significant early and late complications. Despite of all excellent management, non-union rate in type III, and type IV Hawkins fracture is 85%; and AVN of body of talus is 90-95% due to inherent complications of cut off of blood supply which comes from talar neck. Types II, III, IV were associated with talar body dislocation which caused excessive pressure on soft tissues having significant soft tissue complications. Early anatomical reduction and stable fixation is of vital importance to achieve successful outcome.

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Operative Treatment of Displaced Talus Fractures

Cited by 98 publications

References 0 publications

Surgical treatment of talus fractures

Surgical treatment of talus fractures

Evaluation of talus fractures treated with fixation- correlation of functional outcome with the fracture type and wound condition

Management of fracture of neck talus and clinical evaluation of results

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