Orthopedic Trauma Directions 2010; 8(1): 27-32
DOI: 10.1055/s-0028-1100881
Classic article review
© Georg Thieme Verlag KG Stuttgart · New York

Fractures of the Neck of the Talus

The Journal of Bone and Joint Surgery [Am]; 52: 991 – 1002L. G. Hawkins (1970)
Further Information

Publication History

Publication Date:
22 February 2010 (online)

Author summary

Fifty-five patients with 57 vertical fractures of the neck of the talus were included in this series, 43 of whom were followed for a minimum of 1 year. Fractures were classified into three groups based on the presence and location of dislocation. The treatment method employed varied according to fracture classification. Nonunion was reported in three cases, all occurring in patients with fracture dislocations affecting both the subtalar and ankle joints. The overall incidence of avascular necrosis (AVN) was 58%, with the majority occurring in severely displaced fractures. Union was frequently delayed following treatment for AVN and in those patients requiring fusion following AVN, a fusion rate of only 50% was achieved. Predominantly excellent and good clinical results followed the treatment of vertical fractures of the neck of talus not complicated by AVN. Conversely, in those fractures associated with AVN, a high percentage of fair or poor results occurred.

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