OUTCOMES OF OPEN REDUCTION AND INTERNAL FIXATION OF FRACTURE OF NECK OF TALUS

Background: Talus is the second largest tarsal bone with unique importance regarding its location and anatomy . It an osseous link between foot leg has got a pivotal role in overall function three important articulations at tibiotalar , talocalcaneal talonavicular joint divided into body neck posterior facets. Almost 70% surface of talus covered articular cartilage Its blood supply predominantly extraosseous risk during fractures .
 Objectives : The aim our study to observe long term outcomes after surgical treatment fracture Study design Prospective cross sectional setting Department Orthopedic Surgery Services hospital Lahore
 duration From Dec 2017 – Feb 2020
 Methodology: After approval from ethical review board total number 30 patients both males ( 20 ) females 10 were included Each patient underwent X-rays ankle AP LAT mortis views .. All these fixed 4 mm cannulated screw by using combined anterolateral anteromedial approach.
 Results: Post-traumatic arthritis was observed 15 (50.0%) out (75.0 %) subtalar 5 (25.0 joint. Among 8 (26.7%) having Hawkins type 2 14 (46.6%) 3 remaining fractures. Osteonecrosis mostly 6 (42.8%) 3, (25.0%) 1 (12.5%) (3.3 developed non-union delayed union. 4(13.3 superficial infection which treated IV antibiotics wound irrigation Conclusion: We concluded that familiarity complex vascular bony techniques for rigid fixation utmost Rate osteonecrosis mal-union are still high even presence internal