Open Reduction and Internal Fixation for Concomitant Talar Neck, Talar Body, and Medial Malleolar Fractures: A Case Report

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Open reduction and internal fixation for concomitant talar neck, talar body, and medial malleolar fractures: a case report.

Fractures of the talus are rare and generally associated with severe trauma. The mechanism of injury is usually forced dorsiflexion or a fall from a height. Severe talar fractures pose a challenge for surgeons as they are often associated with complications such as avascular necrosis, collapse, malunion, secondary osteoarthritis and pain. This has led some institutions to advocate primary arthr...

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Management of talar neck fractures.

Talar neck fractures are usually the result of high-energy trauma. It remains controversial whether talar neck fractures require emergent treatment. Most surgeons recommend the use of dual surgical approaches, anteromedial and anterolateral, to allow accurate visualization and anatomic reduction. It is important to carefully preserve any remaining talar blood supply. Obtaining satisfactory clin...

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Surgical technique: talar neck osteotomy to lengthen the medial column after a malunited talar neck fracture.

BACKGROUND Treatment of malunited talar neck fractures is challenging, and few studies address anatomic reconstruction as an alternative to arthrodesis. We describe a new surgical approach attempting to improve function and avoid development of degenerative changes in the adjacent joints. DESCRIPTION OF TECHNIQUE Indications included malunited talar neck fractures. Through a dorsomedial appro...

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Treatment of Talar Body Fractures with Closed Reduction and Percutaneous Fixation

.These injuries affect the neck of the talus, more than the head or the body. Talar body fractures of the talus are uncommon accounting for 7– 38% of all talus fractures 4-6 . A combined talar body fracture and medial malleolus fracture is rare. We identified only three cases of this combination without any dislocation of the talar body fragment or pilon fracture. Very few reports in literature...

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Operative treatment of displaced talar neck fractures.

Twenty-two displaced talar neck fractures were treated by open reduction and internal fixation. Four open fractures were operated within 8 hours and 18 closed injuries were treated at an average interval of 13.8 hours after injury. Fractures were classified according to Hawkins' classification into 14 type II, 7 type III and 1 type IV. At an average follow up of 4.4 years, 18 cases obtained exc...

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ژورنال

عنوان ژورنال: Journal of Orthopaedic Surgery

سال: 2009

ISSN: 2309-4990,2309-4990

DOI: 10.1177/230949900901700125