Screw Fixation Techniques for Talar Neck Fractures (Anterior versus Posterior insertion).
- Author:
Dong Eun SHIN
1
;
Hyung Ku YOON
;
Woo Jin CHOI
;
Yoon Seok LEE
;
Seung Chul HAN
Author Information
1. Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA university, Seongnam, Korea.
- Publication Type:Original Article
- Keywords:
Talus;
Neck fracture;
Anterior and posterior approach;
Screw fixation
- MeSH:
Displacement (Psychology);
Follow-Up Studies;
Humans;
Imidazoles;
Joints;
Neck;
Necrosis;
Nitro Compounds;
Talus
- From:Journal of Korean Foot and Ankle Society
2010;14(1):79-83
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To compare the clinical and radiological results between the anterior and posterior screw fixation for the treatment of talar neck fracture. MATERIALS AND METHODS: Among 30 patients who received surgical treatment for talar neck fracture from 2001 to 2008. Twenty-seven patients with a follow-up period of more than 1 year were divided into two groups. Twelve patients were treated with anterior screw fixation and 15 patients with posterior approaches. We analyzed preoperative, postoperative and follow-up radiographs. Clinical results were evaluated by Hawkins criteria. RESULTS: The posteriorly inserted screws were placed across the more central portion of the talar neck and perpendicular to the plane of fracture (p<0.05). There were no difference in clinical results, the duration of union, and complications including avascular necrosis between two groups. However, 2 patients complained of pain around the talonavicular joint in the anterior insertion group. CONCLUSION: Although the clinical results were good irrespective of insertion methods, the posterior approach of screw fixation for talar neck fractures allows for a better mechanical advantage than anterioly placed screws. This may allow early motion with a reduced risk of failure of fixation or of displacement of the fracture.
