title: Functional outcomes following displaced talar neck fractures.
abstract: OBJECTIVE
  To determine the outcome of displaced talar neck fractures at long-term follow-up in terms of functional outcome and secondary reconstructive surgery.
  
  
  METHODS
  Retrospective cohort study.
  
  
  METHODS
  Academic level 1 trauma center.
  
  
  METHODS
  Seventy patients with displaced talar neck fractures.
  
  
  METHODS
  All patients were treated with open reduction and screw fixation.
  
  
  METHODS
  Functional outcome of patients who did not require secondary surgery was assessed using the Short Musculoskeletal Function Assessment, Ankle Osteoarthritis Scale score, and the American Orthopedic Foot and Ankle Society Ankle-Hindfoot Score. The incidence of secondary reconstructive hindfoot surgery, including arthrodesis or talectomy, was measured using life table analysis.
  
  
  RESULTS
  Mean Short Musculoskeletal Function Assessment score was 20 +/- 18 out of 100, with a lower score indicative of better outcome; mean Ankle Osteoarthritis Scale score was 3.8 +/- 2.4 out of 10 (lower score better); and mean Ankle Society Ankle-Hindfoot Score was 71 +/- 19 out of 100 points (higher score better). The incidence of secondary reconstructive surgery increased from 24 +/- 5% at 1 year to 48 +/- 10% at 10 years postinjury.
  
  
  CONCLUSIONS
  Functional outcome varied and was most dependent upon the development of complications. The incidence of secondary reconstructive surgery following talar neck fractures increased over time and was most commonly performed to treat subtalar arthritis or misalignment.
authors.affiliation: Division of Orthopaedic Surgery, University of Western Ontario, London, Ontario, Canada. david.sanders@lhsc.on.ca
authors.forename: David W
authors.initials: DW
authors.lastname: Sanders
authors.forename: Matthew
authors.initials: M
authors.lastname: Busam
authors.forename: Emily
authors.initials: E
authors.lastname: Hattwick
authors.forename: John R
authors.initials: JR
authors.lastname: Edwards
authors.forename: Mark P
authors.initials: MP
authors.lastname: McAndrew
authors.forename: Kenneth D
authors.initials: KD
authors.lastname: Johnson
mesh_terms: D000293:Adolescent; D000328:Adult; D000843:Ankle Joint / Q000000981:diagnostic imaging / Q000503:physiopathology; D005260:Female; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000601:surgery*; D005684:Gait; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D017060:Patient Satisfaction; D011859:Radiography; D016059:Range of Motion, Articular; D020127:Recovery of Function; D012086:Reoperation; D013628:Talus / Q000293:injuries* / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome