Talar Fractures: Results and Outcomes
Year: 2024
Type: article
Abstract: BACKGROUND: Talar fractures occur infrequently and have been associated with high complication rates. The purpose of our present study were to evaluate the rates of early and late complications after operative treatment of talar fractures, to ascertain the effect of surgical delay on the development of osteonecrosis, and to determine the functional outcomes after operative treatment of such fractures. METHODS: We retrospectively reviewed the records of 78 with 60 males and 18 female patients with talar fractures who were managed at Tejasvini Hospital and SSIOT from 2004 to 2010. Amon g these patients 5(3.9%) had fracture of the body of talus, 55(42.9%) had fracture neck of the talus, 6 (4.68%) had fracture of the head of the talus, and 12 had dislocations in 12 (9.36%) of the 78 patients.All fractures have been treated with open reduction and internal fixation. 78 fractures were evaluated during this period after surgery. Complications with radiographic evidence of osteonecrosis and posttraumatic arthritis was evaluated. The results were evaluated using Hawkin’s Criteria. RESULTS: Radiographic evidence of osteonecrosis was seen in 20 (25.64%), with joint stiffness in 53 (67.94%), peritalar arthritis in 32(41.02%), malunion in 17(21.79%), and infection in 8 (10.25%) of the 78 patients studied. The mean time to fixation was 3.6 days for patients who had development of osteonecrosis, compared with 6 days for the patients who did not have development of osteonecrosis. With the numbers available, no correlation could be identified between surgical delay and the development of osteonecrosis. Osteonecrosis was associated with communition of the talar neck fractures and open fractures. 32 Patients had development of posttraumatic arthritis, which was more common after communited fractures and open fractures. Patients with communited fractures also had worse functional outcome scores. CONCLUSIONS: Fractures of the talus are associated with high rates of morbidity and complications . although the numbers in the present series were small, no correlation was found between the timing of fixation and the development of the osteonecrosis. Osteonecrosis was associated with talar neck fractures, and more with communited and open type of fractures, confirming the that higher energy injuries are associated with more complications and worse prognosis. These findings were strengthened by evaluating using Hawkin’s criteria in these patients. And we recommend urgent reduction and treatment of these dislocations and fractures. And definitive rigid internal fixation of the talar neck fractures after soft tissue swelling has subsided which may minimize further soft tissue complications.
Author: Karthick Hunse
Language: English
Topic: Foot and Ankle Surgery
Subfield: Orthopedics and Sports Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W6892908510
FWCI:
Cites:
Cited by:
Related to: