The Result of Open Reduction and Mini-Plate Fixation for Displaced Talar Neck Fracture.
10.12671/jkfs.2015.28.4.215
- Author:
Woong Chae NA
1
;
Sang Hong LEE
;
Jun Young LEE
;
Sang Jun LEE
;
Boseon KIM
Author Information
1. Department of Orthopaedic Surgery, Chosun University School of Medicine, Gwangju, Korea. leejy88@chosun.ac.kr
- Publication Type:Original Article
- Keywords:
Talar neck;
Displaced fracture;
Mini-plate
- MeSH:
Ankle;
Arthritis;
Classification;
Follow-Up Studies;
Foot;
Humans;
Magnetic Resonance Imaging;
Neck*;
Necrosis;
Retrospective Studies
- From:Journal of the Korean Fracture Society
2015;28(4):215-222
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We evaluated the complications, radiological and clinical results after operative treatment using a mini-plate for fixation of displaced talar neck fractures. MATERIALS AND METHODS: There were 20 cases of displaced talar neck fractures from May 2006 to December 2011; we performed a retrospective chart review of 15 patients treated by open reduction and internal fixation using a mini-plate who had more than 2 years of follow-up. According to Hawkin's classification, there were 7 cases of type II fractures and 8 cases of type III fractures. During postoperative 12-16 weeks we checked magnetic resonance imaging. The assessment of clinical results was based on the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scale. RESULTS: Mean union period was 11.6 weeks (10-15 weeks). Nonunion and malunion did not occur in all cases. The mean AOFAS score was 88.2 points (80-97 points). There were 5 cases of avascular necrosis. Of these, there were 3 cases of body collapse and 4 cases of post-traumatic arthritis. In the statistical analysis, there was no correlation between the elements including gender, Hawkin's classification and union rates and clinical results. CONCLUSION: Mini-plate fixation of a displaced talar neck fracture is thought to be a good technique, with a low rate of malunion and also showed satisfactory results in radiological and clinical assessment.
