J Korean Foot Ankle Soc.  2006 Dec;10(2):190-195.

Operative Treatment of Displaced Talar Neck Fracture

• Ahn JH
• Baek CH
• Choy WS
• Kim YI

Abstract

PURPOSE: To evaluate the results of open reduction and internal fixation for displaced talar neck fracture.
MATERIALS AND METHODS
Fourteen patients were followed for more than 1 year after open reduction and internal fixation of displaced talar neck fracture. The mean age was 41.5 years, and the mean follow-up period was 3.8 years. There were 10 type II, 3 type III and 1 type IV fractures per Hawkins. There were 3 open fractures. Clinically AOFAS ankle-hindfoot scale and Hawkins criteria were utilized. Radiologically quality of reduction, duration of bony union, avascular necrosis and posttraumatic arthritis were evaluated.
RESULTS
At last follow-up, AOFAS scale was mean 89.1 points. There were 8 excellent, 4 good, and 2 fair results according to Hawkins criteria. Radiologically anatomical reduction was obtained in 13 cases. Mean duration of bony union was 11.8 weeks. There were 3 avascular necrosis and 2 post-traumatic arthritis. There was no significant difference in the incidence of avascular necrosis between early operation group and surgically delayed group.
CONCLUSION
Accurate open reduction and rigid internal fixation seem to be prerequisites for satisfactory treatment of a displaced talar neck fracture.

Keyword

Fracture; Talar neck; Displaced; Open reduction and internal fixation

MeSH Terms

Arthritis
Follow-Up Studies
Fractures, Open
Humans
Incidence
Neck*
Necrosis