Woong Chae Na; Sang Hong Lee; Jun Young Lee; Sang Jun Lee; Boseon Kim

doi:10.12671/jkfs.2015.28.4.215

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The Result of Open Reduction and Mini-Plate Fixation for Displaced Talar Neck Fracture: Woong Chae Na, M.D., Sang Hong Lee, M.D., Jun Young Lee, M.D., Ph.D, Sang Jun Lee, M.D., Boseon Kim, M.D.; Journal of the Korean Fracture Society 2015;28(4):215-222.
DOI: https://doi.org/10.12671/jkfs.2015.28.4.215
Published online: October 19, 2015

Department of Orthopaedic Surgery, Chosun University School of Medicine, Gwangju, Korea.

Address reprint requests to: Jun Young Lee, M.D., Ph.D. Department of Orthopaedic Surgery, Chosun University Hospital, 365 Pilmun-daero, Dong-gu, Gwangju 61453, Korea. Tel: 82-62-220-3147, Fax: 82-62-226-3379, leejy88@chosun.ac.kr

• Received: May 22, 2015 • Revised: July 8, 2015 • Accepted: July 26, 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract
NOTES
REFERENCES

Abstract

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.
Key words: Talar neck, Displaced fracture, Mini-plate

This study was supported by research fund from Chosun University, 2014.

None.

REFERENCES

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Fig. 1

Intraoperative photograph shows fracture site exposure by medial malleolar osteotomy and fixation using a mini-plate on the superior portion of the deltoid ligament attachment site.

Fig. 2

(A-D) The preoperative simple radiographs and 3-dimensional computed tomography show a Hawkin's type III comminuted talar neck fracture. (E-G) Comminuted talar neck fracture was fixed by a miniplate and medial malleolar osteotomy was fixed by a 4.0 cannulated screw.

Table 1

Demographic Data

AOFAS: American Orthopaedic Foot and Ankle Society, F/D: Fall down, T/A: Traffic accident, AVN: Avascular necrosis, OA: Osteoarthritis, N/A: Normal alignment.

Table 2

Radiographic Results

Values are presented as number/total number (%) or median (range). p-value: age, 0.981; gender, 0.327; Hawkin's type, 0.482.

Table 3

Clinical Results

Values are presented as median (range) or number±standard deviation. p-value: age, 0.221; gender, 0.584; Hawkin's type, 0.823.

Figure & Data

REFERENCES

Citations

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Sung Hae Park, Jun Young Lee, Jung Woo Lee
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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
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The Result of Open Reduction and Mini-Plate Fixation for Displaced Talar Neck Fracture

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

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Figure

We recommend

The Result of Open Reduction and Mini-Plate Fixation for Displaced Talar Neck Fracture

Fig. 1 Intraoperative photograph shows fracture site exposure by medial malleolar osteotomy and fixation using a mini-plate on the superior portion of the deltoid ligament attachment site.

Fig. 2 (A-D) The preoperative simple radiographs and 3-dimensional computed tomography show a Hawkin's type III comminuted talar neck fracture. (E-G) Comminuted talar neck fracture was fixed by a miniplate and medial malleolar osteotomy was fixed by a 4.0 cannulated screw.

Fig. 1

Fig. 2

The Result of Open Reduction and Mini-Plate Fixation for Displaced Talar Neck Fracture

Table 1

Demographic Data

AOFAS: American Orthopaedic Foot and Ankle Society, F/D: Fall down, T/A: Traffic accident, AVN: Avascular necrosis, OA: Osteoarthritis, N/A: Normal alignment.

Table 2

Radiographic Results

Values are presented as number/total number (%) or median (range). p-value: age, 0.981; gender, 0.327; Hawkin's type, 0.482.

Table 3

Clinical Results

Values are presented as median (range) or number±standard deviation. p-value: age, 0.221; gender, 0.584; Hawkin's type, 0.823.

Table 1 Demographic Data

AOFAS: American Orthopaedic Foot and Ankle Society, F/D: Fall down, T/A: Traffic accident, AVN: Avascular necrosis, OA: Osteoarthritis, N/A: Normal alignment.

Table 2 Radiographic Results

Values are presented as number/total number (%) or median (range). p-value: age, 0.981; gender, 0.327; Hawkin's type, 0.482.

Table 3 Clinical Results

Values are presented as median (range) or number±standard deviation. p-value: age, 0.221; gender, 0.584; Hawkin's type, 0.823.