J Korean Foot Ankle Soc.
2005 Jun;9(1):31-37.
Long Term Follow-up of Avascular Necrosis after Talar Fracture and Dislocation: 5 Cases
- Affiliations
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- 1Department of Orthopaedic Surgery, Pusan National University College of Medicien, Busan, Korea.
- 2Department of Orthopaedic Surgery, Pusan Medical Center, Busan, Korea. sjcdoc@daum.net
Abstract
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PURPOSE: To report our opinions of management about avascular necrosis following operative treatment of talar fracture and dislocation.
MATERIALS AND METHODS
We followed up 5 patients who were diagnosed as talar avascular necrosis after operation of talar fracture and dislocation. Clinical and radiological analysis were performed. The mean age of patients was 36 years. There were 4 males and 1 females. The average follow up was 51 months. Hawkins scoring system was used as clinical evaluation.
RESULTS
Regardless of radiological sclerotic finding, all patients showed satisfactory clinical result. Despite arthritic change in one patient, there were no further radiological and clinical deterioration to require salvage procedure.
CONCLUSION
Most avascular necrosis after operative treatment of talar fracture and dislocation showed satisfactory result with conservative treatment. Thus, salvage operation such as talectomy or ankle fusion should be reserved in cases of intractable ankle pain and claudication.
