Talar Fractures and Dislocations: A Radiologist's Guide to Timely Diagnosis and Classification.

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Abstract

[Indexed for MEDLINE] 7. Orthop Clin North Am. 2013 Oct;44(4):521-8. doi: 10.1016/j.ocl.2013.06.007. Epub 2013 Aug 12. Surgical treatment of talus fractures. Shakked RJ(1), Tejwani NC. Author information: (1)Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, 301 East 17th Street, New York, NY 10003, USA. Talus fractures result from high-energy mechanisms and usually occur at the neck. Functional outcome after talar neck fracture worsens with increasing Hawkins grade. The mainstay of treatment for talar neck fractures is anatomic reduction and internal fixation. Prompt reduction of dislocations should be performed. Patients should be taken to the operating room as soon as stabilized. Dual incisions and a combination of minifragment plates and screws should be used. Talar body fractures have a high rate of ankle and subtalar arthritis. Lateral process fractures are frequently missed on radiographs. Complications after talus fractures include osteonecrosis, malunion, post-traumatic arthritis, and infection. Copyright © 2013 Elsevier Inc. All rights reserved. DOI: 10.1016/j.ocl.2013.06.007