Case Report of a Horizontal Plane Fracture of the Talus

Rodes, Stephen A.; Kiner, Dirk

doi:10.1097/bot.0b013e3182821034

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…This has been described specifically only once in previous literature [9]. Other reports have described bilateral talar neck involvement, entrapment of the neurovascular and tendinous structures, concomitant talar, malleolar, and calcaneal fractures [10][11][12][13][14][15]. We offer an updated report to highlight treatment decision-making in timing, reduction, and fixation, along with patient outcomes.…”

Section: Introductionmentioning

confidence: 75%

An Unusual Inverted Talar Neck Fracture–Dislocation

Kokubun

Refaat

2022

Case Reports in Orthopedics

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Talar neck fractures occur on a continuum of injury severity. Hawkins classification, later modified by Canale, is the gold standard method of describing talar neck fractures by the degree of dislocation. It has proven to be clinically relevant in predicting risk of osteonecrosis. Despite its merits, talar neck fractures present on a wide spectrum of involvement of the body and neck, dislocation, and concomitant injuries, making every situation a challenge in treatment. We present a unique case of a talar neck fracture in which the talar dome had dislocated and inverted 180°, which is not described in the widely used Hawkins classification. We recommend urgent open reduction, low threshold for use of a transcalcaneal traction pin and dual incisions, and guarded prognosis of osteonecrosis and posttraumatic arthritis.

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Section: Introductionmentioning

confidence: 75%

An Unusual Inverted Talar Neck Fracture–Dislocation

Kokubun

Refaat

2022

Case Reports in Orthopedics

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“…Talar neck and body fractures are rare; they account for 0.1% of all fractures, 9 2% of all lower limb injuries, and 5% to 7% of all foot injuries. 14 Generally, fracture and dislocation of the talus usually occur as a result of high-energy injuries, 8 and they are associated with a high rate of osteonecrosis.…”

Section: Discussionmentioning

confidence: 99%

Ceramic Artificial Talus as the Initial Treatment for Comminuted Talar Fractures

et al. 2019

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Background: Comminuted talar fractures are rare. Generally, this fracture occurs as a result of high-energy injuries. Therefore, this operation is challenging for the surgeon. We started to replace the whole talus with a total talar prosthesis in cases of aseptic talar necrosis in 2005. Based on these results, replacement with a ceramic artificial talus was performed as the initial treatment for comminuted talar fractures. Methods: From 2009 to 2016, a total of 6 feet of 6 patients with comminuted talar dome fractures or talar body defects were replaced with a ceramic artificial talus. The patients’ mean age was 40.3 years (range, 19-59). Postoperative assessments were performed in accordance with the American Orthopaedic Foot & Ankle Society (AOFAS) ankle/hindfoot score system. Postoperative range of motion and sports activities were also evaluated. Follow-up ranged from 12 to 84 (mean, 46.8) months. Results: The postoperative AOFAS score was on average 78.8 (64-100). The postoperative range of motion was on average 10 degrees (5-20) for dorsiflexion and 31 degrees (15-50) for plantarflexion. Three patients had returned to sport activities. Conclusion: Prosthetic total talar replacement was a useful procedure for patients with comminuted talar fractures, which had good congruency of the custom-made implant with the adjacent joints, resulting in stability, and maintained ankle function. Furthermore, this procedure could prevent the complications of long-term external fixation and non-weight-bearing walking seen after open reduction and arthrodesis. Level of Evidence: Level IV, retrospective comparative study.

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Case Report of a Horizontal Plane Fracture of the Talus

Cited by 2 publications

References 8 publications

An Unusual Inverted Talar Neck Fracture–Dislocation

An Unusual Inverted Talar Neck Fracture–Dislocation

Ceramic Artificial Talus as the Initial Treatment for Comminuted Talar Fractures

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