title: Functional and radiological outcomes of operative management of displaced talar neck fractures.
abstract: OBJECTIVE
  To evaluate functional and radiological results of internal fixation of displaced talar neck fractures.
  
  
  METHODS
  Twenty patients with displaced talar neck fractures who underwent surgery and fixation by cancellous screws were evaluated. Patients were evaluated by American Orthopedic Foot and Ankle Society score which is based on pain (40 points), function (50 points) and alignment (10 points) with excellent (90-100 points), good (75-89 points), fair (60-74 points) and poor scores (<60 points) and radiographically for assessment of union, osteonecrosis and osteoarthritic changes in the subtalar and ankle joint.
  
  
  RESULTS
  Among the 20 cases, 13 cases had closed injuries and 7 had open fractures. The most common etiology of injury was road traffic accidents. The average follow up time was 28 months. Osteonecrosis was evident on follow up X-rays in 7 cases of which 2 progressed to talar dome collapse. Post traumatic arthritis was observed in 11 cases. Based on American Orthopedic Foot and Ankle Society scores, excellent result was obtained in 4 cases, good 7 cases, fair 5 cases and poor 4 cases.
  
  
  CONCLUSIONS
  Talar neck fractures are associated with high rates of morbidity and complications. Post traumatic arthritis is more common complication than osteonecrosis following surgery.
authors.affiliation: Department of Orthopaedics, Kasturba Medical College, Manipal University, Mangalore 575001, India. Electronic address: rajendra.orthopaedics@gmail.com.
authors.forename: Rajendra
authors.initials: R
authors.lastname: Annappa
authors.affiliation: Department of Orthopaedics, JLN Medical College, Ajmer, India. Electronic address: nandlal.jhamaria@gmail.com.
authors.forename: Nand Lal
authors.initials: NL
authors.lastname: Jhamaria
authors.affiliation: Department of Orthopaedics, Kasturba Medical College, Manipal University, Mangalore 575001, India. Electronic address: dineshkvn@gmail.com.
authors.forename: K V N
authors.initials: KV
authors.lastname: Dinesh
authors.affiliation: Department of Orthopaedics, JLN Medical College, Ajmer, India. Electronic address: docdev76@gmail.com.
authors.lastname: Devkant
authors.affiliation: Department of Orthopaedics, BGS Medical College, Bangalore, India. Electronic address: raghuhr1110@yahoo.co.in.
authors.forename: Raghu H
authors.initials: RH
authors.lastname: Ramesh
authors.affiliation: Department of Pathology, Kasturba Medical College, Manipal University, Mangalore 575001, India. Electronic address: puja4444@gmail.com.
authors.forename: Pooja K
authors.initials: PK
authors.lastname: Suresh
mesh_terms: D000328:Adult; D001863:Bone Screws; D015331:Cohort Studies; D005260:Female; D005593:Fracture Fixation, Internal; D017102:Fracture Healing; D006801:Humans; D057072:Intra-Articular Fractures / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D020127:Recovery of Function; D013628:Talus / Q000293:injuries*; D016896:Treatment Outcome; D055815:Young Adult
keywords: Osteonecrosis of talus; Talar neck fractures; Talus fixation