Treatment of Peripheral Talus Fractures.
Peripheral talus fractures include injuries to the lateral process, posteromedial talar body, and talar head. These injuries are rare and are often missed. Nonunion with conservative treatment is high and excision can lead to joint instability, rapid arthrosis, and earlier need for arthrodesis. Open reduction internal fixation of most peripheral talus fractures is critical to achieving a good outcome. Open reduction leads to more rapid union and ability to mobilize the ankle and subtalar joints, quicker revascularization of the talus, and lower rates of arthrosis. Surgical treatment can lead to substantial functional improvement and a slowing of the degenerative process.
Colorado Center of Orthopaedic Excellence, 2446 Research Parkway, #200, Colorado Springs, CO 80920, USA. Electronic address: johnrshank@yahoo.com.
John R
JR
Shank
Department of Orthopaedics and Sports Medicine, University of Washington, Box 359798, Seattle, WA 98195-9798, USA.
Stephen K
SK
Benirschke
Orthopedic Trauma, Orthopedic Surgery, Michigan Orthopedic Center, Sparrow Hospital, 2815 South Pennsylvania Avenue, #204, Lansing, MI 48190, USA.
Michael P
MP
Swords
D064386:Ankle Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D000843:Ankle Joint / Q000000981:diagnostic imaging / Q000601:surgery; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D000070799:Open Fracture Reduction; D013380:Subtalar Joint / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D013628:Talus / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*
Lateral process; Posteromedial talar body; Talar head