Talar Neck Fractures: Results and Outcomes

Classifications in Brief: The Hawkins Classification for Talus Fractures

“…They suggested further subdividing Type II injuries into those in which the subtalar joint is subluxated (Type IIA) and those in which the subtalar joint is dislocated (Type IIB), and hypothesized that AVN rates would increase with greater subtalar displacement [17]. In reviewing 80 patients with 52 talar neck fractures, they identified 19 Type IIA and 16 Type IIB injuries treated with open reduction internal fixation and 12 months followup.…”

“…Vallier et al [17] reviewed 100 talus fractures and found other complications, including osteonecrosis with collapse (31%), ankle osteoarthritis (18%), and subtalar osteoarthritis (15%). Operative intervention was complicated by superficial (3.3%) and deep infection (5%), wound dehiscence (3.3%), delayed union (1.7%), and nonunion (3.3%) [17].…”

“…Vallier et al [17] reviewed 100 talus fractures and found other complications, including osteonecrosis with collapse (31%), ankle osteoarthritis (18%), and subtalar osteoarthritis (15%). Operative intervention was complicated by superficial (3.3%) and deep infection (5%), wound dehiscence (3.3%), delayed union (1.7%), and nonunion (3.3%) [17]. They also found a substantial association between talar neck comminution and osteonecrosis, which resulted in worse functional outcomes as measured by mean musculoskeletal function scores [17].…”

“…Operative intervention was complicated by superficial (3.3%) and deep infection (5%), wound dehiscence (3.3%), delayed union (1.7%), and nonunion (3.3%) [17]. They also found a substantial association between talar neck comminution and osteonecrosis, which resulted in worse functional outcomes as measured by mean musculoskeletal function scores [17]. The overall rate of posttraumatic arthritis was 54%; the subtalar joint was involved 38% of the time, and the overall rate of postfracture AVN was 25%.…”

Prótese do tornozelo híbrida em um caso de necrose avascular pós-traumática do tálus

“…The prevalence of post-traumatic arthrosis is between 35 and 100%, and both the ankle and the subtalar joint are affected (1)(2)(3) . In a series that we followed, ankle arthrosis was present in 40% of the cases after five years (4) .…”