J Korean Foot Ankle Soc.  2007 Jun;11(1):91-96.

Surgical Treatment of Type II Talar Neck Fractures

Affiliations
  • 1Department of Orthopedic Surgery, Konyang University College of Medicine, Daejeon, Korea. sbkim@kyuh.co.kr/sangbume@hitel.net

Abstract

PURPOSE: To evaluate the clinical results and determine appropriate methods of surgical treatment about type II talar neck fracture.
MATERIALS AND METHODS
Among nineteen patients who received surgical treatment for type II talar neck fracture from May 2000 to May 2005. Fourteen patients with a follow-up period of more than 1 year were divided into two groups. Six patients reduced by closed reduction (Group A) with screw fixation and eight patients reduced by open reduction with screw fixation. We analyzed preoperative, postoperative and follow-up simple radiographs and reviewed patient hospital records retrospectively. Clinical results were evaluated by Hawkins scoring system. We analyzed pain, limp, range of motion of ankle and subtalar joint.
RESULTS
Five patients (83.3%) in group A and seven patients (87.7%) in group B had excellent and good clinical results. There were no complications including avascular necrosis, delayed union, nonunion.
CONCLUSION
Closed reduction with screw fixation of talar neck fracture shows correct reduction and satisfactory results. But because of short term period of follow-up, we need long term results.

Keyword

Talus; Neck fracture; Percutaneous fixation
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