Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Surgical Treatment of Type II Talar Neck Fractures

제 2형 거골 경부 골절의 수술적 치료

  • Jeon, Taek-Soo (Department of Orthopedic Surgery, Konyang University College of Medicine) ;
  • Kim, Sang-Bum (Department of Orthopedic Surgery, Konyang University College of Medicine) ;
  • Kim, Sung-Hun (Department of Orthopedic Surgery, Konyang University College of Medicine) ;
  • Kim, Tae-Kyun (Department of Orthopedic Surgery, Konyang University College of Medicine) ;
  • Kim, Seung-Hwan (Department of Orthopedic Surgery, Konyang University College of Medicine)
  • 전택수 (건양대학교 의과대학 정형외과학교실) ;
  • 김상범 (건양대학교 의과대학 정형외과학교실) ;
  • 김성훈 (건양대학교 의과대학 정형외과학교실) ;
  • 김태균 (건양대학교 의과대학 정형외과학교실) ;
  • 김승환 (건양대학교 의과대학 정형외과학교실)
  • Published : 2007.06.01
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Abstract

Purpose: To evaluate the clinical results and determine appropriate methods of surgical treatment about type II talar neck fracture. Materials and Methods: Among nineteen patients who received surgical treatment for type II talar neck fracture from May 2000 to May 2005. Fourteen patients with a follow-up period of more than 1 year were divided into two groups. Six patients reduced by closed reduction (Group A) with screw fixation and eight patients reduced by open reduction with screw fixation. We analyzed preoperative, postoperative and follow-up simple radiographs and reviewed patient hospital records retrospectively. Clinical results were evaluated by Hawkins scoring system. We analyzed pain, limp, range of motion of ankle and subtalar joint. Results: Five patients (83.3%) in group A and seven patients (87.7%) in group B had excellent and good clinical results. There were no complications including avascular necrosis, delayed union, nonunion. Conclusion: Closed reduction with screw fixation of talar neck fracture shows correct reduction and satisfactory results. But because of short term period of follow-up, we need long term results.

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