Clinical outcomes of surgical treatment for talar malunions and nonunions.
OBJECTIVE
To present our experiences of treating talar malunions and nonunions.


METHODS
Between January 2000 and September 2009, 26 patients with malunions or nonunions after talar fractures underwent surgical treatment according to different types of talar deformities. The treatment outcomes were evaluated using AOFAS ankle-hindfoot scale as well as plain radiographs.


RESULTS
20 patients were available for follow-up for 30 (range, 24 to 60) months. No wound healing problems or infections occurred and solid unions were achieved in all patients. Radiological unions were achieved at a mean time of 14 (range, 12 to 18) weeks. The mean time to complete weight-bearing was 16 (range, 14 to 20) weeks. The mean AOFAS score increased significantly from 36.2 (range, 27 to 43) to 85.8 (range, 74 to 98).


CONCLUSIONS
Surgical interventions for malunions and nonunions after talar fractures can bring about satisfactory outcomes, and the appropriate procedure should be adopted according to different types of posttraumatic deformities.


METHODS
IV, Retrospective Study.
Department of Orthopaedic Surgery, Tongji Hospital, Tongji University School of Medicine, 389 Xincun Road, Shanghai 200065, China.
Da-Wei
DW
Chen
Department of Orthopaedic Surgery, Tongji Hospital, Tongji University School of Medicine, 389 Xincun Road, Shanghai 200065, China.
Bing
B
Li
Department of Orthopaedic Surgery, Tongji Hospital, Tongji University School of Medicine, 389 Xincun Road, Shanghai 200065, China.
Yun-Feng
YF
Yang
Department of Orthopaedic Surgery, Tongji Hospital, Tongji University School of Medicine, 389 Xincun Road, Shanghai 200065, China.
Jia-Qian
JQ
Zhou
Department of Orthopaedic Surgery, Tongji Hospital, Tongji University School of Medicine, 389 Xincun Road, Shanghai 200065, China.
Hai-Feng
HF
Li
Department of Orthopaedic Surgery, Tongji Hospital, Tongji University School of Medicine, 389 Xincun Road, Shanghai 200065, China.
Ashwin
A
Aubeeluck
Department of Orthopaedic Surgery, Tongji Hospital, Tongji University School of Medicine, 389 Xincun Road, Shanghai 200065, China.
Guang-Rong
GR
Yu
Fractures, Ununited/surgery; Fractures, Ununited/therapy; Fractures, malunited/surgery; Fractures, malunited/therapy; Talus