Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Operative Treatment of Displaced Talar Neck Fracture

전위된 거골 경부 골절의 수술적 치료

  • Ahn, Jae-Hoon (Department of Orthopaedic Surgery Eulji University College of Medicine) ;
  • Baek, Chang-Hyun (Department of Orthopaedic Surgery Eulji University College of Medicine) ;
  • Choy, Won-Sik (Department of Orthopaedic Surgery Eulji University College of Medicine) ;
  • Kim, Yong-In (Department of Orthopaedic Surgery Eulji University College of Medicine)
  • 안재훈 (을지대학교 의과대학 정형외과학교실) ;
  • 백창현 (을지대학교 의과대학 정형외과학교실) ;
  • 최원식 (을지대학교 의과대학 정형외과학교실) ;
  • 김용인 (을지대학교 의과대학 정형외과학교실)
  • Published : 2006.12.01
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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.

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