A case series: Talus neck fractures treated with open reduction and internal fixation with dual approach- anteromedial and anterolateral

Abstract

Background: Talus neck fractures are rare but potentially devastating injuries, which require a comprehensive understanding of it’s anatomy, blood supply, fracture classification and management.Materials and Methodology: This was a prospective study of 8 cases of closed displaced talus neck fractures, managed at Sheth L.G. hospital. We used Modified Hawkins classification to classify fracture pattern, treatedwith open reduction internal fixation and outcome was evaluated with help of two parameters: functional and radiographical.Results: We found an average score of 81 points out of 100 (good) using AOFAS Ankle-hindfoot scale after 1 year follow-up. While two out of eight patients developed osteonecrosis of talus which was visible in their 1 year follow up x-rays.Conclusion: We can conclude that dual approach- antero-medial and antero- lateral to the displaced talus neck fracture, allows full visualization of the fracture and anatomical reduction, which results in good functional outcome.