title: Arthroscopic Reduction and Internal Fixation (ARIF) of a Comminuted Posterior Talar Body Fracture: Surgical Technique and Case Report.
abstract: The talus is the second most common fractured tarsal bone. While their incidence may be low, talus fractures are severe injuries that can lead to long-term disability and pain. Displaced talar body fractures are typically treated through an open approach with the aim of obtaining anatomic reduction and stable fixation. There are several case reports in the literature demonstrating successful management of talus fractures arthroscopically. An arthroscopic approach minimizes soft tissue trauma, which can help decrease postoperative wound complications and infections. In this article, the authors describe a surgical technique of an arthroscopic reduction and internal fixation of a comminuted posterior talar body fracture. Compared with an open posterior approach with or without osteotomies, an arthroscopic technique improved visualization and allowed precise reduction and fixation.
  
  
  METHODS
  Level V: Case report.
authors.affiliation: Emory University, Atlanta, Georgia.
authors.forename: Rishin
authors.initials: R
authors.lastname: Kadakia
authors.affiliation: Emory University, Atlanta, Georgia.
authors.forename: Jeff
authors.initials: J
authors.lastname: Konopka
authors.affiliation: Emory University, Atlanta, Georgia.
authors.forename: Tristan
authors.initials: T
authors.lastname: Rodik
authors.affiliation: Emory University, Atlanta, Georgia.
authors.forename: Samra
authors.initials: S
authors.lastname: Ahmed
authors.affiliation: Emory University, Atlanta, Georgia.
authors.forename: Sameh A
authors.initials: SA
authors.lastname: Labib
mesh_terms: D000328:Adult; D001182:Arthroscopy / Q000379:methods*; D001265:Athletic Injuries / Q000000981:diagnostic imaging / Q000601:surgery; D001864:Bone Wires; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D017102:Fracture Healing / Q000502:physiology; D018460:Fractures, Comminuted / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D012916:Soccer / Q000293:injuries; D013628:Talus / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D013997:Time Factors; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
keywords: diagnostic and therapeutic techniques; external and internal fixation; forefoot; midfoot; talar fractures; toe