Defining Talar Head and Neck Pathology: The Malvern Classification System.

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Abstract

[Indexed for MEDLINE] 3. J Orthop Trauma. 2021 Aug 1;35(Suppl 2):S56-S57. doi: 10.1097/BOT.0000000000002168. Talar Neck and Sustentaculum Fracture Fixation. He B(1), Neiman R(2). Author information: (1)Orthopedic Surgery, Highland Hospital, Oakland, CA; and. (2)Trauma Services, Sutter Roseville Medical Center, Roseville, CA. Talar neck fractures are uncommon fractures that result from high-energy trauma causing bony and soft tissue injury. When combined with sustentaculum fractures, care must be taken to plan the approach and fracture fixation strategy. We present a 57-year-old woman who experienced a motor vehicle accident, sustaining a Hawkins II talar neck fracture with associated sustentaculum tali fracture. We demonstrate the dual-incision approach to the talar neck with medial screw and lateral plate fixation. The sustentaculum fixation was accomplished with cannulated screws through a direct medial approach. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved. DOI: 10.1097/BOT.0000000000002168