Treatment of fractures of the talar neck: long term follow up of 89 cases.
- Author:
Yan WANG
1
;
Manyi WANG
;
Xieyuan JIANG
;
Yong WU
;
Ming XIE
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Child; Female; Fractures, Bone; surgery; therapy; Humans; Male; Middle Aged; Neck Injuries; surgery; therapy; Osteotomy
- From: Chinese Journal of Surgery 2002;40(5):366-368
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo summarize the experience in treating talar neck fractures.
METHODS89 patients with talar neck fracture were followed up, and classified by modified Hawkin's classification. Three patients of type I were treated with plastic cast and K-wire, 53 of type II with open reduction and internal fixation (ORIF), close reduction and plaster, fusion, and 29 of type III and 4 of type IV with joint fusion and ORIF.
RESULTSMean follow-up was 5.18 years. Evaluation by Hawkin's criteria, showed 22 patients were excellent, 16 good; 28 fair and 19 poor results respectively.
CONCLUSIONSEmergency operation with ORIF should be performed in type II and type III talar neck fracture. Medial malleolus osteotomy is recommended when medial approach is used.
