Journal of Musculoskeletal Trauma

The Result of Open Reduction and Mini-Plate Fixation for Displaced Talar Neck Fracture: Woong Chae Na, Sang Hong Lee, Jun Young Lee, Sang Jun Lee, Boseon Kim; J Korean Fract Soc 2015;28(4):215-222. Published online October 31, 2015; DOI: https://doi.org/10.12671/jkfs.2015.28.4.215

PURPOSE
We evaluated the complications, radiological and clinical results after operative treatment using a mini-plate for fixation of displaced talar neck fractures.
MATERIALS AND METHODS
There were 20 cases of displaced talar neck fractures from May 2006 to December 2011; we performed a retrospective chart review of 15 patients treated by open reduction and internal fixation using a mini-plate who had more than 2 years of follow-up. According to Hawkin's classification, there were 7 cases of type II fractures and 8 cases of type III fractures. During postoperative 12-16 weeks we checked magnetic resonance imaging. The assessment of clinical results was based on the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scale.
RESULTS
Mean union period was 11.6 weeks (10-15 weeks). Nonunion and malunion did not occur in all cases. The mean AOFAS score was 88.2 points (80-97 points). There were 5 cases of avascular necrosis. Of these, there were 3 cases of body collapse and 4 cases of post-traumatic arthritis. In the statistical analysis, there was no correlation between the elements including gender, Hawkin's classification and union rates and clinical results.
CONCLUSION
Mini-plate fixation of a displaced talar neck fracture is thought to be a good technique, with a low rate of malunion and also showed satisfactory results in radiological and clinical assessment.

Citations

Citations to this article as recorded by

Outcome of Type 3 Talar Neck Fractures by Means of Medial Malleolar Osteotomy and Large Distractor
Sung Hae Park, Jun Young Lee, Jung Woo Lee
Journal of the Korean Orthopaedic Association.2019; 54(1): 45. CrossRef
The Measurement of Normal Talus in Korean Cadaver
Dong-Jun Ha, Heui-Chul Gwak, Jeon-Gyo Kim, Jung-Han Kim, Chang-Rak Lee, Young-Jun Kim, Jeong-Han Lee, Byung-Ho Ha, Ui-Cheol Kim
Journal of Korean Foot and Ankle Society.2016; 20(4): 163. CrossRef

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Results of Treatment for Fractures of the Talar Neck: Kyung Jin Song, Jung Ryul Kim, Moon Kyu Kim, Byung Yun Hwang; J Korean Soc Fract 1999;12(2):435-439. Published online April 30, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.2.435

Abstract PDF: The purpose of this investigation was to evaluate the clinical results and to suggest appropriate treatment modality in the treatment of the fracture of talar neck. Twelve patients who had the fracture of talar neck were managed from October 1988 to April 1996 and followed more than 24 months. We reviewed the results according to the method of treatment, and complications following surgery. Three were treated with closed reduction and casting, one with closed reduction and K-wire fixation, eight were treated with open reduction and internal fixation. The functional result was excellent in 58.3 % and good in 33.3 % according to Hawkins criteria. Overall, there were three complications, one with skin necrosis on the incision site and the other two with subtalar arthritis. The treatment results were affected by the severity of trauma at the time of injury. Anatomical reduction by closed or open method, and stabilization with cast or rigid internal fixation could facilitate early mobilization and minimize postoperative complications in the treatment of talar neck fractures.

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A Treatment of Fracture of the Neck of the Talus: In Suk Oh, Do Hyun Moon, Jin Hong Ko, Ki Dong Kang, Si Hwan Kim; J Korean Soc Fract 1996;9(2):369-375. Published online April 30, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.2.369

Abstract PDF: A fracture of the tatar nock if relatively rare, but it is generally regarded as a serious traumatic lesion of the ankle, because of the poor outcome after treatment. The talus has a special anatomical, functional and vascular characteristics. So the complications with avascular necrosis and nonunion and degenerative joint diseases are frequent. We reviewed 19 cases who treated at ChungAng Gil General Hospitai from January, 1990 to August, 1994 and studied the incidence of complications and important factors in achieving good results. The follow up period was at least 12 months. The results were as follows; 1. Of the 18 cases, there were 18 males and 2 females, and most were third and fourth decades(67%). 2. The main cause were a fall down injury(44%), with sudden hyperextension as its mechanism. 3. According to Hawkins classification, type I, type II & type III were 6,8 & 4 cases, respectively. 4. The accompanying ipsilateral peri-ankle involvement were observed in 44%. 5. As for the method of treatment, C/R with cast immobilization were performed in 6 cases of type I while O/R and I/F with screw & Steinmann pin done on others. 6. As for the complications, AVN, skin necrosis, traumatic arthritis and infection were 3, 1,2 and 1 cases, respectively. : Excellent in 9 cases, good in 6, fair in 1, poor in 2. Consequently we think, in the treatment of displaced neck fracture and dislocation of talus, it is important to decompress the soft tissue early with concomitant anatomical reduction & internal fixation to get a satisfactory results.

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Avascular Necrosis After the Fracture of the Neck of the Talus: Chang Ju Lee, Won Ho Cho, Ho Guen Chang, Byung Il Min; J Korean Soc Fract 1989;2(2):194-201. Published online November 30, 1989; DOI: https://doi.org/10.12671/jksf.1989.2.2.194

Abstract PDF: Avascular necrosis was a frequent complication of the fracture of the neck of the talus. Hawkins described a subchondral radiolucency visible in the body of the talus six to eight weeks after fracture. This sign has proved to be a useful objective prognostic sign; the presence of this sign would not undergo avscular necrosis. In eleven patients, serial roetgenograms were examined for this phenomenon. The results were as follows: 1. Six fractures that had the Hawkins sign did not undergo avascular necrosis. 2. Also, we experienced two cases of partial Hawkins sign which developed the partial avascular necrosis.

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