Vol. 13 No. 1 (2021): Archives of Public Health (OnlineFirst)
Clinical Science

Functional results after operative treatment of talus fractures

Andreja Gavrilovski
University Clinic for traumatic injuries, orthopedics, anesthesia,reanimation and intensiva care; Faculty of Medicine, Ss Ciril and Methodius University, Skopje, Republic of North Macedonia
Aleksandra Gavrilovska-Dimovska
University Clinic for Neurosurgery; Faculty of Medicine, University Ss Ciril and Methodius, Skopje, Republic of North Macedonia
Goran Aleksovski
University Clinic for traumatic injuries, orthopedics, anesthesia, reanimation and intensivе care; Faculty of Medicine, Ss Ciril and Methodius University, Skopje, Republic of North Macedonia

Published 2021-03-10

Keywords

  • talus fracture,
  • surgical treatment,
  • functional outcome

How to Cite

1.
Gavrilovski A, Gavrilovska-Dimovska A, Aleksovski G. Functional results after operative treatment of talus fractures. Arch Pub Health [Internet]. 2021 Mar. 10 [cited 2021 Apr. 16];13(1):1-6. Available from: https://id-press.eu/aph/article/view/5723

Abstract

Fractures of the talus do not occur frequently, accounting for about 0.1% of all fractures. Failure to achieve anatomic reduction, exponentially increases the risk of postoperative aseptic osteonecrosis and posttraumatic osteoarthritis. The purpose of this study was to evaluate and compare the short-term and medium-term functional outcomes in patients who underwent open reduction and internal fixation of talus fractures. Materials and methods: At the University Clinic for Traumatology in the period between 2017 to 2020, 14 patients with talus fractures were surgically treated. The inclusion and exclusion factors were determined, all patients signed the consent and the study passed the ethics committee. Results: All patients underwent open reduction and internal fixation with screws or reconstructive plate. Follow-up was done on the 14th postoperative day, 1st month, 3rd month and 6th month. At the 6th month follow-up, the functional outcome was tested using the Kitaoka score unified by the American Orthopedic Foot and Ankle Society. This injury is too rare for conclusions to be brought out of and to be compared to larger studies. However, all major studies from reference trauma centers lead to the same conclusions, that the treatment of these fractures is complex Anatomical reduction is mandatory for a better outcome. Conclusion: A protocol for the treatment of posttraumatic osteoarthritis should be introduced, given the high rate of its occurrence despite the satisfactory surgical technique.

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References

  1. Elgafy H, Ebraheim NA, Tile M, Stephen D, Kase J. Fractures of the talus: experience of two level 1 trauma centers. Foot Ankle Int. 2000;21(12): 1023–1029. doi : 10.1177 / 107110070002101208.
  2. Adelaar RS, Madrian JR. Avascular necrosis of the talus. Orthop. Clin. North Am. 2004;35(3): 383–395. doi: 10.1016/j.ocl.2004.02.010.
  3. Dale JD, Ha AS, Chew FS. Update on talar fracture patterns: a large level I trauma center study. AJR Am. J. Roentgenol. 2013;201(5): 1087–1092. doi: 10.2214/AJR.12.9918.
  4. Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Myerson MS, Sanders M. Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. Foot Ankle Int. 1994;15: 349–353.
  5. Allier HA, Reichard SG, Boyd AJ, Moore TA. A new look at the Hawkins classification for talar neck fractures: which features of injury and treatment are predictive of osteonecrosis? J Bone Joint Surg. Am. 2014;96(3): 192–197. doi: 10.2106/JBJS.L.01680.
  6. Halvorson JJ, Winter SB, Teasdall RD, Scott AT. Talar neck fractures: a systematic review of the literature. J Foot Ankle Surg. 2013;52(1): 56–61. doi: 10.1053/j.jfas.2012.10.008.
  7. Fournier A, Barba N, Steiger V, Lourdais A, Frin JM, Williams T et al. Total talar fracture – long-term results of internal fixation of talar fractures. A multicentric study of 114 cases. Orthop Traumatol Surg Res. 2012;98(4)Suppl: S48–S55. doi: 10.1016/j.otsr.2012.04.012.
  8. Barnett JR et al. The Diagnosis, Management and Complications Associated with Fractures of the Talus. The open orthopedic journal. vol. 11. 31 May 2017. 460-466. doi: 10.2174/1874325001711010460.
  9. Cebesoy O, Karakurum G. Talar fractures and avascular necrosis. Are we underestimating the risk? IntOrthop. 2007;31(2): 269. doi: 10.1007/s00264-006-0239-z.