Paediatric talus fractures: A guide to management based on a review of the literature.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

[Indexed for MEDLINE] Conflict of interest statement: Declaration of Competing Interests The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. 20. 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