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KMID : 0896720010050010028
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Journal of the Korean Society of Foot Surgery
2001 Volume.5 No. 1 p.28 ~ p.34
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Short-term Results of Talar Neck Fractures
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Kim Jong-Oh
Yun Yeo-Hon
Yoo Jae-Doo
Kim Dong-Wook
Koh Young-Do
Cho Choong-Ho
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Abstract
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Study design: Clinical results were retrospectively analyzed in 11 patients with fractures of talar neck who were treated in our department from Jan. 1994 to Dec. 1999.
Objective:The purpose of this study is to evaluate the short-term results and to assess the prognostic factors of talar neck fractures.
Material and Methods: 11 cases with fractures of talar neck were reviewed retrospectively with minimum 1 year follow-up. There were 8 men & 3 women, and the average age was 25. The most common cause was traffic accident. According to the modified Hawkins classification, type Ⅰ was in 4 cases, type Ⅱ in 5, type Ⅲ in 2, and type Ⅳ was none. All type Ⅰ fractures were treated conservatively, and others were treated operatively.
Results: According to Hawkins criteria, there was excellent result in 7 cases(64%), good in 2(18%), and fair on 2(18%). Post-traumatic arthritis occurred in 2 cases, but there was no avascular necrosis.
Conclusion:Careful selection of method of treatment and urgent management are important prognostic factors in talar neck fractures. The longer follow-up in more cases is necessary to evaluate the long-term clinical results and complications more accurately.
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KEYWORD
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Talus, Neck, Fracture
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