�ber Luxationsfrakturen im Bereich des oberen Sprunggelenks

Fracture of the Talus:A Study of its Genesis and Morphology Based Upon Cases with Associated Ankle Fracture

“…As far as the ankle fracture is concerned, we already have an essentially sufficient and genetically well-founded classification system (Lauge Hansen 1942, Baek Kristensen 1949, Dinstl & Spangler 1963, Solonen & Lauttamus 1965. In cases of simultaneous ankle and talus fracture, therefore, the pathological movement of the foot at the moment of the accident is known and can be related to the morphology of the talus fracture.…”

Talus fracture-A myth

“…Bone grafting is occasionally needed to replace areas of impaction defects to restore the neck length. For comminuted talar neck fractures, many authors have advocated plate fixation with or without neutralization screw fixation (Figure 4) [10,19,20,30] . By providing a solid buttress as a bridging strut, plates can be placed on the most comminuted column of the talus, either medial, lateral, or bilateral columns.…”

“…Most surgeons recommend the use of dual surgical approaches, anteromedial and anterolateral, to allow accurate visualization and anatomic reduction of talar neck fractures. [16,19,20] . The anteromedial approach begins at the anterior border of the medial malleolus and extends toward the navicular tuberosity, just between the anterior tibial and posterior tibial tendons.…”