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Treatment Plan • Place in temporary splint once talar neck fracture reduced • Time to definitive fixation NOT related to increased risk of AVN • Wait for appropriate soft tissue envelope to reduce complications • Despite optimizing skin envelope risk of wound dehiscence, skin necrosis, and infection 10%
13 lut 2020 · Talus fractures continue to represent a challenging and commonly encountered group of injuries. Its near-complete articular cartilage surface, and its role in force transmission between the leg...
13 lut 2020 · Repeat surgical intervention after an index treatment of a talus fracture can stem from treatment of infection, reconstruction of a malunion, revision fixation of a nonunion, or fusion/joint reconstruction of post-traumatic arthritis.
Talus fractures can be classified anatomically as head, neck, body and process fractures. Neck fractures are defined as being be- tween the head and anterior to the lateral process. Body fractures are defined as posterior to the lateral process or extending into it. Talar neck fractures are classified according to Hawkins classi-
Undisplaced talar neck fractures (Hawkins type 1) can be treated non-operatively in a short leg non-weight-bearing cast for 6 to 8 weeks. Subsequent displacement (i.e. Hawkins type 2) will require open reduction internal fixation (ORIF).
4 sie 2021 · The present systematic review on clinical outcomes of patients undergoing conservative or surgical treatment for talar fractures reveals a lack of reliable prospective evidence.
Restoring the intraosseous anastomoses, which are necessary for fracture healing and revascularization of the talar body, relies on anatomic fracture reduction and rigid internal fixation. The most clinically significant complication after talar neck fracture is avascular necrosis (AVN) with collapse of the talar body.
