Karthick Hunse*

Department of Orthopaedics, Shikara Ortho centre, Bangalore, India

*Corresponding Author: Karthick Hunse, Department of Orthopaedics, Shikara Ortho centre, Bangalore, India.

Received: March 15, 2024; Published: May 08, 2024

Abstract

Background: Talar fractures occur infrequently and have been associated with high complication rates. The purpose of our present study were to evaluate the rates of early and late complications after operative treatment of talar fractures, to ascertain the effect of surgical delay on the development of osteonecrosis, and to determine the functional outcomes after operative treatment of such fractures.

Methods: We retrospectively reviewed the records of 78 with 60 males and 18 female patients with talar fractures who were managed at Tejasvini Hospital and SSIOT from 2004 to 2010. Amon g these patients 5(3.9%) had fracture of the body of talus, 55(42.9%) had fracture neck of the talus, 6 (4.68%) had fracture of the head of the talus, and 12 had dislocations in 12 (9.36%) of the 78 patients.

All fractures have been treated with open reduction and internal fixation. 78 fractures were evaluated during this period after surgery. Complications with radiographic evidence of osteonecrosis and posttraumatic arthritis was evaluated. The results were evaluated using Hawkin’s Criteria.

Results: Radiographic evidence of osteonecrosis was seen in 20 (25.64%), with joint stiffness in 53 (67.94%), peritalar arthritis in 32(41.02%), malunion in 17(21.79%), and infection in 8 (10.25%) of the 78 patients studied.

The mean time to fixation was 3.6 days for patients who had development of osteonecrosis, compared with 6 days for the patients who did not have development of osteonecrosis. With the numbers available, no correlation could be identified between surgical delay and the development of osteonecrosis. Osteonecrosis was associated with communition of the talar neck fractures and open fractures. 32 Patients had development of posttraumatic arthritis, which was more common after communited fractures and open fractures. Patients with communited fractures also had worse functional outcome scores.

Keywords: Hawkin’s Criteria; CT Scan

References

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Citation

Citation: Karthick Hunse. “Talar Fractures: Results and Outcomes".Acta Scientific Orthopaedics 7.6 (2024): 10-11.

Copyright

Copyright: © 2024 Karthick Hunse. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.