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KMID : 0896720030070010119
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Journal of the Korean Society of Foot Surgery
2003 Volume.7 No. 1 p.119 ~ p.125
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The Complication of the Talar Neck Fracture
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Seong Byeong-Yeon
Park Wan-Soo
Lee Seung-Ki
Park Chan-Ji
Kim Dong-Won
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Abstract
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Purpose:The purpose of this study was to recognize complications of talar neck fracture.
Material and Methods :The clinical and radiological analysis were performed on 19 cases of the talus neck fractures who had been treated with conservative treatment or variable methods of operative treatment. Each cases followed up more than 1 year and 6 months from May 1989 to June 2001. The clinical results were analyzed according to the age, cause of injury, fracture type of Hawkins classification, associated soft tissue injury, method of treatments, complications, and Hawkins scoring system.
Results: According to Hawkins classification, typeⅠ was 6 cases(32%), typeⅡ was 5 cases(26%), typeⅢ was 7 cases(37%), and typeⅣ was 1 case(5%). In all cases, complete bony union was obtained. According to the Hawkins scoring system, 8 cases(42%) were excellent and good. Avascular necrosis was 4 cases(25%). Traumatic arthritis was 10 cases which were occurred in type Ⅱ, Ⅲ and Ⅳ. An ankle fusion was 1 case.
Conclusions:In talar neck fractures, non-displaced fracture treated by the cast immobilization and displaced fracture treated by early open reduction and internal fixation were expected good results. The complications were 77% of traumatic arthritis and 31% of avascular necrosis in type Ⅱ, Ⅲ and Ⅳ. We should preoperatively explain to the patient for high complication rates of traumatic osteoarthritis and avascular necrosis in the talus neck fractures.
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KEYWORD
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Talus neck fracture, Open and closed treatment, Avascular necrosis
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