title: ANALYSIS OF CLINICAL AND FUNCTIONAL OUTCOME AND COMPLICATIONS OF TALAR NECK FRACTURES.
abstract: OBJECTIVE
  To evaluate the clinical, functional and radiographic results from talar neck fractures in patients treated at the Foot and Ankle Surgery Group of Santa Casa de Sao Paulo.
  
  
  METHODS
  We evaluated 20 patients. The mean follow-up time was 71 months. One fracture was classified as Hawkins Type I, 12 as Hawkins type II, five as Hawkins type III, two as Hawkins type IV and four fractures were open.
  
  
  RESULTS
  One patient was treated conservatively, 16 were treated with open reduction and internal fixation (three with primary subtalar arthrodesis), one was treated with talectomy and two with tibiotalocalcaneal arthrodesis. The reduction obtained was anatomical in seven feet, acceptable in six feet and poor in four. Seven patients had early complications. There was one case of delayed consolidation and four of talar body osteonecrosis. Four patients required secondary reconstruction procedures. No significant radiographic impairment of the ankle joint was found in 62% of the patients and of the subtalar joint in 25%. Of the patients who did not undergo secondary procedures, 81% complained about the treated foot, 37.5% showed some deformity, 44% presented diminished sensitivity and 50% had to retire from work. The mean loss of motion in the ankle was 49%, and in the subtalar joint, 80%. The average AOFAS score was 73 points.
  
  
  CONCLUSIONS
  Talar neck fractures are associated with high rates of clinical, functional and radiographic complications.
authors.affiliation: MSc in Medicine; Orthopedist and Specialist in Foot and Ankle Surgery; First Medical Lieutenant of the Brazilian Army, serving at the Central Hospital of the Army.
authors.forename: Leonardo Ribeiro
authors.initials: LR
authors.lastname: Bastos
authors.affiliation: PhD in Medicine; Assistant Professor and Head of the Foot and Ankle Surgery Group, Department of Orthopedics and Traumatology, Santa Casa de Sao Paulo.
authors.forename: Ricardo Cardenuto
authors.initials: RC
authors.lastname: Ferreira
authors.affiliation: PhD in Medicine; Adjunct Professor and Attending Physician in the Trauma Group, Department of Orthopedics and Traumatology, Santa Casa de Sao Paulo.
authors.forename: Marcelo Tomanik
authors.initials: MT
authors.lastname: Mercadante
keywords: Adult; Fractures; Talus/injuries; bone/complications