A rare case of "Hawkins type 3" talar neck fracture in a cat.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: The author declares that there is no conflict of interest. 16. BMJ Case Rep. 2024 Feb 29;17(2):e259005. doi: 10.1136/bcr-2023-259005. Primary total talus arthroplasty for Hawkins type IV talar neck fracture dislocation. Eskew J(1), Reynolds Z(2), Jenkins J(3), Sridhar M(2). Author information: (1)Orthopedic Surgery, Prisma Health Upstate, Greenville, South Carolina, USA joshua.eskew@prismahealth.org. (2)Orthopedic Surgery, Prisma Health Upstate, Greenville, South Carolina, USA. (3)University of South Carolina School of Medicine Greenville Campus, Greenville, South Carolina, USA. A woman in her 40s was involved in a motor vehicle collision and sustained a closed Hawkins type IV talar neck fracture dislocation. The injury was treated with reduction, percutaneous pinning and spanning external fixation, followed by definitive treatment with total talus arthroplasty (TTA) 2 months following injury. This is a unique example of definitive management for a severe talar neck fracture dislocation with arthroplasty in the subacute setting. TTA is perhaps a primary option for these injuries at high risk for avascular necrosis, non-union, malunion and post-traumatic arthritis. © BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ. DOI: 10.1136/bcr-2023-259005 PMCID: PMC10910409