Talar neck and body fracture outcomes: a multicentre retrospective review View Full Text


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Article Info

DATE

2021-11-22

AUTHORS

Georgina Crate, Alastair Robertson, Alexander Martin, Neale J. Marlow, Enis Guryel, Alex Trompeter

ABSTRACT

PurposeTalar neck and body fractures are uncommon injuries that are challenging to manage with high reported complication rates, including post-traumatic arthritis, avascular necrosis, and poor functional outcomes. The aim of this study was to assess the complication rates for patients with talus fractures across three major trauma centres (MTCs) in England.MethodsA retrospective analysis was performed of prospectively collected trauma databases. Data were collected from three English MTCs. Patients with talar neck and/or body fractures sustained between August 2015 and August 2019 were identified and their clinical course reviewed radiologically and clinically. Isolated process fractures, osteochondral defects and paediatric patients were excluded. Patients were analysed by fracture type and for definitive treatment method with separation into non-operative and operative management groups. Procedure type was identified in the operative group. Superficial infection, deep infection, non-union, avascular necrosis, post-traumatic arthritis and removal of metalwork rates were analysed.ResultsEighty-five patients with talar neck and/or body fractures were included. Seventy-five patients received operative management, 10 non-operative. The overall AVN rate was 5.9% (five patients), overall post-traumatic arthritis rate was 18.8% (16 patients), deep infection rate 1.2% (one patient), non-union rate 4.7% (four patients). Removal of metalwork rate was 9.4% (eight patients).ConclusionOur reported outcomes and complication rates are generally lower than those previously described. This may be a result of improved techniques, a higher frequency of open reduction with direct visualisation or by surgery occurring in centralised specialist centres. More... »

PAGES

1-7

References to SciGraph publications

  • 2007-06-22. Clinical outcome of fractures of the talar body in INTERNATIONAL ORTHOPAEDICS
  • 2018-06-01. Management of Talar Body Fractures in INDIAN JOURNAL OF ORTHOPAEDICS
  • 2013-12-03. Treatment of displaced talar neck fractures using delayed procedures of plate fixation through dual approaches in INTERNATIONAL ORTHOPAEDICS
  • 2009-12-22. Long-term follow-up after surgical treatment of talar fractures in INTERNATIONAL ORTHOPAEDICS
  • 2018-06-01. Management Options in Avascular Necrosis of Talus in INDIAN JOURNAL OF ORTHOPAEDICS
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00590-021-03161-3

    DOI

    http://dx.doi.org/10.1007/s00590-021-03161-3

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1142725597

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/34807327


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