Operative Treatment of Displaced Talar Neck Fracture / 대한족부족관절학회지
Journal of Korean Foot and Ankle Society
; : 190-195, 2006.
Article
in Ko
| WPRIM
| ID: wpr-37450
Responsible library:
WPRO
ABSTRACT
PURPOSE: To evaluate the results of open reduction and internal fixation for displaced talar neck fracture. MATERIALS AND METHODS: Fourteen patients were followed for more than 1 year after open reduction and internal fixation of displaced talar neck fracture. The mean age was 41.5 years, and the mean follow-up period was 3.8 years. There were 10 type II, 3 type III and 1 type IV fractures per Hawkins. There were 3 open fractures. Clinically AOFAS ankle-hindfoot scale and Hawkins criteria were utilized. Radiologically quality of reduction, duration of bony union, avascular necrosis and posttraumatic arthritis were evaluated. RESULTS: At last follow-up, AOFAS scale was mean 89.1 points. There were 8 excellent, 4 good, and 2 fair results according to Hawkins criteria. Radiologically anatomical reduction was obtained in 13 cases. Mean duration of bony union was 11.8 weeks. There were 3 avascular necrosis and 2 post-traumatic arthritis. There was no significant difference in the incidence of avascular necrosis between early operation group and surgically delayed group. CONCLUSION: Accurate open reduction and rigid internal fixation seem to be prerequisites for satisfactory treatment of a displaced talar neck fracture.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Arthritis
/
Incidence
/
Follow-Up Studies
/
Fractures, Open
/
Neck
/
Necrosis
Type of study:
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Humans
Language:
Ko
Journal:
Journal of Korean Foot and Ankle Society
Year:
2006
Type:
Article