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KMID : 0896719970010020119
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Journal of the Korean Society of Foot Surgery
1997 Volume.1 No. 2 p.119 ~ p.125
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Clinical Evaluation of the Francture of Talar Neck
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Rhee Jin-Hong
Lee Jeong-Woung
Cho Jae-Young
Bae Sang-Won
Lee Eui-hyung
Lee Ju-Youn
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Abstract
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The fracture and fracture-dislocat,ion of the neck of the talus (Hawkins’ type I-IV) are uncornmon injuries and represent only 0.12 to 0.32% of all fracures. Authars clinicaily eval-uated in l2 cases Whom treated fracures of the neck of the talus, at. department, of orthopaedic surgery, Sun General Hospital, frorn 1990 to 1996, and the following results are obtained. l. Of 12 cases, there were ll males and 1 female, average age was 30 years. 2. Causes of fracture was fall down injury in 7 cases(58%), t,raffic accident in 4 cases(33 %), direct trauma in 1 case(8%). 3. According to the classification by Hawkin’s type I in 2 cases(17%), type II in 7cases (58%), type III in 3cases(25% ). 4. Associated injuries were calcaneal fracture in 3 cases, fracture dislocation of talus in 3 cases, subtalar dislocation in 3 cases, medial rnalleolar fracture in 5 cases, soft tissue injury in 3 cases, femur and tihia fracture in 1 case, and lumbar Spine compression fracture in 1 case. 5. Average time to operat.ion after injury was 2.5 days. 6. In 2 cases were treat.ed conservatively and 10 cases were treted open reduction and internal fixation with screw or K wire. 7. Complications were avascular necrosis in 4 cases, post traumatic arthritis in 2 cases, skin necrosis in 4 cases, and then ankle fusion was done in 2 cases. 8. High rate of complicat.ion was seen in the talar neck fracture associated with calcaneal fracture. In the analysis of above results, evaluated by Hawkins scoring system were excellent to fair in 75%.
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KEYWORD
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Talar neck, Fracture, Treatment
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