A case of fracture talus with medial malleolus treated with headless screws and cancellous cannulated screws using single anteromedial approach
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20220011Keywords:
A case of fracture talus with medial malleolus treated with headless screws and cancellous cannulated screws using single anteromedial approachAbstract
Talar fractures are complex injuries with an array of management options and complications. We present a case of talar fracture with medial malleolus fracture fixed via common anteromedial approach through the fracture site. The incidence of associated malleolar injury has ranged from 19% to 28% in prior studies. The skin condition is often poor and prone to swelling in such cases which makes the management challenging. Along with poor wound healing, joint stiffness, osteonecrosis and osteoarthritis of the ankle are complications affecting the outcome of the patient.
References
Canale ST. Fractures of the neck of the talus. Orthopedics. 1990;13:1105-15.
Fortin PT, Balazsy JE. Talus fractures: evaluation and treatment. J Am Acad Orthop Surg. 2001;9:114-27.
Mechchat A, Bensaad S, Shimi M. Unusual ankle fracture: a case report and literature review. J Clin Orthop Trauma. 2014;5:103-6.
Cöster MC, Rosengren BE, Bremander A, Brudin L, Karlsson MK. Comparison of the self-reported foot and ankle score (SEFAS) and the American Orthopedic Foot and Ankle Society score (AOFAS). Foot Ankle Int. 2014;35(10):1031-6.
Buza III JA, Leucht P. Fractures of the talus: Current concepts and new developments. Foot Ankle Surg. 2018;24(4):282-90.
Elgafy H, Ebraheim NA, Tile M, Stephen D, Kase J. Fractures of the talus: experience of two level 1 trauma centers. Foot Ankle Int. 2000;21(12):1023-9.
Lindvall E, Haidukewych G, DiPasquale T, Herscovici Jr D, Sanders R. Open reduction and stable fixation of isolated, displaced talar neck and body fractures. JBJS. 2004;86(10):2229-34.
Vallier HA, Nork SE, Barei DP, Benirschke SK, Sangeorzan BJ. Talar neck fractures: results and outcomes. JBJS. 2004;86(8):1616-24.
Vallier HA, Nork SE, Benirschke SK, Sangeorzan BJ. Surgical treatment of talar body fractures. JBJS. 2003;85(9):1716-24.
Van Bergen CJ, Tuijthof GJ, Sierevelt IN, van Dijk CN. Direction of the oblique medial malleolar osteotomy for exposure of the talus. Arch Orthop Trauma Surg. 2011;131(7):893-901.
Halvorson JJ, Winter SB, Teasdall RD, Scott AT. Talar neck fractures: a systematic review of the literature. J Foot Ankle Surg. 2013;52(1):56-61.
Dodd A, Lefaivre KA. Outcomes of talar neck fractures: a systematic review and meta-analysis. J Orthop Trauma. 2015;29(5):210-5.
Sangeorzan BJ, Wagner UA, Harrington RM, Tencer AF. Contact characteristics of the subtalar joint: the effect of talar neck misalignment. J Orthop Res. 1992;10(4):544-51.
Chateau PF, Brokaw DS, Jelen BA, Scheid DK, Weber TG. Plate fixation of talar neck fractures: preliminary review of a new technique in twenty-three patients. J Orthop Trauma. 2002;16(4):213-9.