Long Term Follow-up of Avascular Necrosis after Talar Fracture and Dislocation: 5 Cases.
- Author:
Byung Cheol KIM
1
;
Sung Jong CHOI
;
Hui Taek KIM
;
Chong Il YOO
;
Sung Won JUNG
;
Il Soo EUN
;
Jeong Mo KU
;
Jong Kyun KIM
Author Information
1. Department of Orthopaedic Surgery, Pusan National University College of Medicien, Busan, Korea.
- Publication Type:Original Article
- Keywords:
Talar fracture and dislocation;
Avascular necrosis
- MeSH:
Ankle;
Dislocations*;
Female;
Follow-Up Studies*;
Humans;
Male;
Necrosis*
- From:Journal of Korean Foot and Ankle Society
2005;9(1):31-37
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
