Abstract
Introduction: Talus fractures are common in injuries of high-energy mechanisms and also with other musculoskeletal injuries and systemic trauma. Treating talus fracture in the multiple injured patient is a challenge. Varied injury patterns of talus have brought in controversies and various approaches for the same type of injury.
Aim: A study to analyse various approaches and its outcome in open reduction and internal fixation of talar fracture.
Materials & Methods: Seventeen patients were analysed in our study during the period of august 2014 to September 2016 with inclusion indication of simple and compound fracture of talar body and talar neck upto grade II compound injury with good general condition. All patients were reviewed at periodic intervals clinically with AOFAS scoring and radiologically with X-rays till union achieved.
Results: Among seventeen patients eight cases anteromedial, four cases combined anteromedial and posterolateral and five cases combined anteromedial and anterolateral approaches were performed for cannulatedcancelous screws fixation. The mean AOFAS was 58.6 and was improved from preoperative score.
Conclusion: This study analysed various approaches performed in talar fractures to visualize talar neck and talar body and combined anteromedial and anterolateral approach found to be helped for better visualization of talar neck and talar body for good fixation.
Keywords: talar neck, talar body, approaches, cannulated cancelous screw, internal fixation.
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Corresponding Author
A.Sudharsan
Department of Orthopaedics, Thanjavur Medical College Hospital,
Thanjavur, Tamilnadu, India
DOI: https://dx.doi.org/10.18535/jmscr/v6i5.27
